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NPI Code Detail

MEDICARE: VASCULAR CENTER OF ORLANDO, P.A.

MEDICARE: VASCULAR CENTER OF ORLANDO, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery PhysicianME31846FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2060065287OTHERFLCHAMPUS

General Provider Information

NPI Number : 1255331666
Entity Type Code : Organization
Provider Name (Legal Business Name) : VASCULAR CENTER OF ORLANDO, P.A.
Provider Business Mailing Address
First Line : 1200 EDGEWATER DR
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6314
Country : US
Telephone Number : 407-244-8559
Fax Number : 407-244-8560
Provider Business Practice Location Address
First Line : 1200 EDGEWATER DR
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6314
Country : US
Telephone Number : 407-244-8559
Fax Number : 407-244-8560
Authorized Official
Title or Position : OWNER
Name : SAMUEL PRESTON MARTIN IV
Credential : M.D.
Telephone Number : 407-244-8559
Provider Enumeration Date : 07/28/2005
Last Update Date : 10/10/2012

Similar Medicare Providers

1124028436 — DR. SAMUEL PRESTON MARTIN IV M.D.
Practice Location Address:
1200 EDGEWATER DR
ORLANDO, FL
32804-6314
Practice Phone: 407-244-8559
Practice Fax: 407-244-8560
1730150509 — DR. HUGO VINCENT HART MD
Practice Location Address:
1200 EDGEWATER DR
ORLANDO, FL
32804-6314
Practice Phone: 407-244-8559
Practice Fax: 407-218-4563
1265491898 — LISA MARIE CUNNINGHAM ARNP
Practice Location Address:
1200 EDGEWATER DR
ORLANDO, FL
32804-6314
Practice Phone: 407-244-8559
Practice Fax: 407-218-4563
1902912298 — CHANEY B GORDY D.M.D.
Practice Location Address:
1216 EDGEWATER DR
ORLANDO, FL
32804-6314
Practice Phone: 407-422-1130
Practice Fax: 407-841-5657
1215001227 — MS. JULIE ANN KUNITSER PA C
Practice Location Address:
1200 EDGEWATER DR
ORLANDO, FL
32804-6314
Practice Phone: 407-244-8559
Practice Fax: 407-218-4563
1164609350 — MS. NANNETTE G WILSON ARNP
Practice Location Address:
1200 EDGEWATER DR
ORLANDO, FL
32804-6314
Practice Phone: 407-244-8559
Practice Fax: 407-218-4563

Directions to “VASCULAR CENTER OF ORLANDO, P.A. ” Practice Location

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