Cardiovascular Surgical Institute of NW Florida, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC

Practice address

625 W Baldwin Rd Ste D
Panama City, FL 32405-3359

Phone

(850) 820-7900

NPI assigned

Aug 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberley McIllwain, RN

Title

Administrator

Phone

(850) 820-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Ambulatory surgical center certification: CCN 10C0001783

Legal name

CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 4, 2026

Last certification

Jan 21, 2026

Facility address

625 W. Baldwin Road, Suite D
Panama City, FL 32405

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saeed U Khaja, DO

  • Clinical Cardiac Electrophysiology Physician
  • Panama City, FL
  • NPI 1316289606
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1063131712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-820-7900",
            "fax_number": "850-448-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-820-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "MCILLWAIN",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-820-7900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Lynn Cantler
• Capital Home Health, LLC
• Capital Medical and Surgical Inc.
• Yusleidy Cardenache Aruca
• Cardiovascular Institute of NW Florida Center of Excellence, LLC
• Care Beyond the Chair Counseling LLC
• Careminders-Panama City, Inc.
• Caresouth HHA Holdings of Panama City, LLC
• Lisa Carey
• Caring Inc. of Bay Co.

• Ambulatory Surgical Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.