# CARDIAC & VASCULAR SURGERY SPECIALIST, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vascular Surgery Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740468396
- **Authorized official:** MR. ELMER E. CROUSHORE III MD (OWNER)
- **Authorized official phone:** (352) 331-6777

## Contact information

- **Practice address:** 1121 NW 64TH TERR., STE A, GAINESVILLE, FL 32605
- **Practice address phone:** (352) 331-6777
- **Practice address fax:** (352) 331-8899
- **Mailing address:** 1121 NW 64TH TERR., STE A, GAINESVILLE, FL 32605
- **Mailing address phone:** (352) 331-6777
- **Mailing address fax:** (352) 331-8899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 01/29/2013