Organization
CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY MCILLWAIN RN (ADMINISTRATOR)
(850) 820-7900
Entity
Organization
Contact information
Practice address
625 W BALDWIN RD STE D, PANAMA CITY, FL 32405-3359
(850) 820-7900
Mailing address
625 W BALDWIN RD STE D, PANAMA CITY, FL 32405-3359
(850) 820-7900
(850) 448-2927
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
03/31/2026
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