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Contact Information

ATLANTIC CARDIOVASCULAR & THORACIC SURGEONS, LLC
1240 W GRANADA BLVD FL 2
ORMOND BEACH, FL32174-5915
 Phone: 862-366-8543
 Fax: 862-632-9963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ATLANTIC CARDIOVASCULAR THORACIC SURGEONS LLC · (Female)

NPI # 1962831883
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2013
Last updated 01/21/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME36700
  • FL License # ME58979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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