# THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.

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

## Provider details

- **NPI number:** 1134546542
- **Authorized official:** RICHARD R PROIA MD (PRESIDENT)
- **Authorized official phone:** (352) 416-2628

## Contact information

- **Practice address:** 1151 NW 64TH TER, GAINESVILLE, FL 32605-4218
- **Practice address phone:** (352) 331-8570
- **Practice address fax:** (352) 331-9095
- **Mailing address:** PO BOX 14655, GAINESVILLE, FL 32604-4655
- **Mailing address phone:** (352) 331-9095
- **Mailing address fax:** (352) 331-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | ME94028 | FL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME94028 | FL | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 10/12/2017