CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA NPI 1851403125

NPI Information

CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA is a vascular surgery surgery in Jacksonville, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA NPI is 1851403125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1824 KING ST
STE 200
JACKSONVILLE, FL
ZIP 32204-735
Phone: (904) 384-3343
Fax: (904) 400-6671

The provider's authorized official is Raymond Lee .
The authorized official title is Managing Partner and has the following contact phone number (904) 384-3343.

The CLIA number assigned to this NPI record is 10D1005111 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/12/2024.

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:

Other Identifiers

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