# FLORIDA HEART AND VASCULAR SURGEONS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033152822
- **Authorized official:** TREVA D. WIDDIS (ASSOCIATE EXECUTIVE DIRECTOR)
- **Authorized official phone:** (352) 867-8311

## Contact information

- **Practice address:** 1511 SW 1ST AVE, OCALA, FL 34471-6505
- **Practice address phone:** (352) 867-8311
- **Practice address fax:** (352) 622-5771
- **Mailing address:** PO BOX 3130, OCALA, FL 34478-3130
- **Mailing address phone:** (352) 867-8311
- **Mailing address fax:** (352) 622-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 01/14/2016