# SOUTHERN CARDIAC AND VASCULAR ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1831529866
- **Authorized official:** CYNTHIA GUNN (INS/PT ACCOUNTS ADMINISTRATOR)
- **Authorized official phone:** (850) 878-6164

## Contact information

- **Practice address:** 1405 CENTERVILLE RD STE 5000, TALLAHASSEE, FL 32308-4663
- **Practice address phone:** (850) 878-6164
- **Practice address fax:** (850) 656-5575
- **Mailing address:** 1405 CENTERVILLE RD STE 5000, TALLAHASSEE, FL 32308-4663
- **Mailing address phone:** (850) 878-6164
- **Mailing address fax:** (850) 656-5575

## 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:** 11/12/2013
- **Last updated:** 02/11/2014