# ATLANTIC CARDIOVASCULAR & THORACIC SURGEONS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Cardiovascular & Thoracic Associates, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962831883
- **Authorized official:** WILLIAM HAMPTON JOHNSON III M.D. (OPERATING MANAGER)
- **Authorized official phone:** (386) 672-9503

## Contact information

- **Practice address:** 1240 W GRANADA BLVD FL 2, ORMOND BEACH, FL 32174-5915
- **Practice address phone:** (862) 366-8543
- **Practice address fax:** (862) 632-9963
- **Mailing address:** 1240 W GRANADA BLVD FL 2, ORMOND BEACH, FL 32174-5915
- **Mailing address phone:** (386) 236-6854
- **Mailing address fax:** (386) 263-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME36700 | FL | — |
| 2086S0129X | Vascular Surgery Physician | ME58979 | FL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME36700 | FL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME58979 | FL | — |

## Other

- **Enumeration date:** 11/01/2013
- **Last updated:** 01/21/2025