Healthcare Provider Details

I. General information

NPI: 1245311612
Provider Name (Legal Business Name): FLORIDA ADVANCED CARDIOTHORACIC INSTITUTE, PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 TAMPA GENERAL CIR SUITE 820
TAMPA FL
33606-3601
US

IV. Provider business mailing address

5 TAMPA GENERAL CIR SUITE 820
TAMPA FL
33606-3601
US

V. Phone/Fax

Practice location:
  • Phone: 813-844-8155
  • Fax: 813-844-7730
Mailing address:
  • Phone: 813-844-8155
  • Fax: 813-844-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIANO CALDEIRA
Title or Position: OWNER
Credential: MD
Phone: 813-844-8155