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ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE LLC NPI 1255817847


NPI Information

NPI: 1255817847
Provider Name: ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
12361 W BOLA DR
SURPRISE, AZ
ZIP 85378
Phone: (623) 815-5000
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ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE, LLC is a vascular surgery surgery in Surprise, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ATLANTIS CARDIAC & VASCULAR CENTER OF SURPRISE, LLC NPI is 1255817847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12361 W BOLA DR
SURPRISE, AZ
ZIP 85378-021
Phone: (623) 815-5000

The provider's authorized official is Timothy Cozatt .
The authorized official title is Coo and has the following contact phone number (480) 395-8211.

The enumeration date for this NPI number is 7/17/2018 and was last updated on 7/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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