National Provider Identifier Database

CARDIOTHORACIC VASCULAR SURGICAL ASSOCIATES PA
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


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
* Vascular & Interventional Radiology 2085R0204X
Cardiovascular Disease 207RC0000X
Diagnostic Radiology 2085R0202X
Interventional Cardiology 207RI0011X
Nurse Practitioner 363L00000X
Phlebology 202K00000X
Physician Assistant 363A00000X
Surgery 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA

NPI Number 1851403125
Legal business name
LBN
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
Authorized official LARRY TAYLOR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/31/2006
Last updated 04/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 251834100
  • Other: CC8211 MEDICARE RAILROAD

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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