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Contact Information

CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
1824 KING ST
STE 200
JACKSONVILLE, FL32204-4735
 Phone: 904-384-3343
 Fax: 904-400-6671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Phlebology

202K00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
 

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 CARDIOTHORACIC VASCULAR SURGICAL ASSOCIATES PA · (Female)

NPI # 1851403125
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2006
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 251834100
  • Other CC8211 MEDICARE RAILROAD
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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