Organization
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D TAYLOR (GROUP PRESIDENT, OPERATIONS)
(205) 987-4003
Entity
Organization
Contact information
Practice address
1824 KING ST STE 200, JACKSONVILLE, FL 32204-4736
(850) 479-1805
Mailing address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 479-1805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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