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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

NPI Number 1962831883
LBN Legal business name ATLANTIC CARDIOVASCULAR & THORACIC SURGEONS, LLC
Authorized official WILLIAM JOHNSON - (OPERATING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2013
Last updated 01/21/2025 - More than a year ago
Identifiers
FL License # ME36700
FL License # ME58979
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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