Provider Demographics
NPI:1053591982
Name:FLORIDA ADVANCED CARDIOTHORACIC SURGERY LLC
Entity type:Organization
Organization Name:FLORIDA ADVANCED CARDIOTHORACIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIANO
Authorized Official - Middle Name:C B
Authorized Official - Last Name:CALDEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:813-844-8155
Mailing Address - Street 1:PO BOX 22843
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-2843
Mailing Address - Country:US
Mailing Address - Phone:813-844-8155
Mailing Address - Fax:813-844-7730
Practice Address - Street 1:5 TAMPA GENERAL CIRCLE
Practice Address - Street 2:SUITE 820
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3589
Practice Address - Country:US
Practice Address - Phone:813-844-8155
Practice Address - Fax:813-844-7730
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CS HEALTHCARE HOLDINGS LLLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-08
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty