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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

NPI # 1851403125
LBN Legal business name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
Authorized official LARRY TAYLOR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 04/17/2025 - More than a year ago
Identifiers
FL Medicaid 251834100
Other CC8211 MEDICARE RAILROAD
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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