Central Florida Physician Network LLC

Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Sanford, FL

NPI 1497328645 · NPPES record last updated Jul 23, 2021

Key facts

NPI
1497328645
Entity type
Organization (NPI type 2)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
Legal business name
CENTRAL FLORIDA PHYSICIAN NETWORK LLC
Practice address
1718 Lexington Green LN Ste B
Sanford, FL 32771-1018
Phone
(407) 302-5520
NPI assigned
Jul 23, 2021
Organization subpart
Yes
Parent organization (as reported)
CENTRAL FLORIDA PHYSICIAN NETWORK LLC

Authorized official

Name
William Tedrick Johnson
Title
Vice President
Phone
(615) 372-3375

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Centrl FL Phys Ntwrk LLC (2 organizations share this tax ID)
Part of
Centrl FL Phys Ntwrk LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208G00000X Yes

Addresses

Primary practice location

1718 Lexington Green LN Ste B
Sanford, FL 32771-1018

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 372-5426

Other providers in Sanford, FL

All providers in Sanford, FL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

Sources for this page

Verify at the official NPI Registry.