Organization Active NPI

Thoracic Surgery Associates of Central Florida LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kissimmee, FL
National Provider Identifier
1093231250
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME121555 Issued in FL
Legal business name
THORACIC SURGERY ASSOCIATES OF CENTRAL FLORIDA LLC
Practice address
737 W Oak St
Kissimmee, FL 34741-4937
Phone
(407) 279-0334
Fax
(407) 557-3264
NPI assigned
Aug 19, 2017
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. Anthony Ian Nunez, MD
Title
Owner
Phone
(407) 279-0334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME121555 FL Primary

Addresses

Primary practice location

737 W Oak St
Kissimmee, FL 34741-4937

Mailing address

737 W Oak St
Kissimmee, FL 34741-4937
Phone (407) 279-0334

Other practice location 1

410 Lionel Way Ste 202
Davenport, FL 33837-7809
Phone (407) 279-0334

Other practice location 2

900 Carillon Pkwy Ste 301
St Petersburg, FL 33716-1115
Phone (727) 914-9765

Other practice location 3

1110 Druid Cir Ste A
Lake Wales, FL 33853
Phone (407) 279-0334

Other identifiers 1

IdentifierTypeStateIssuer
104740100MedicaidFL

National Provider Directory

National Provider Directory

Locations

737 W Oak St
Kissimmee, FL 34741
Phone (407) 279-0334

NPI Registry JSON

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

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1093231250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414937",
            "telephone_number": "407-279-0334",
            "fax_number": "407-557-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414937",
            "telephone_number": "407-279-0334",
            "fax_number": "407-557-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Lionel Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338377809",
            "country_code": "US",
            "telephone_number": "407-279-0334",
            "fax_number": "407-557-3264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Carillon Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161115",
            "country_code": "US",
            "telephone_number": "727-914-9765",
            "fax_number": "866-888-1606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Druid Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "33853",
            "country_code": "US",
            "telephone_number": "407-279-0334",
            "fax_number": "407-557-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THORACIC SURGERY ASSOCIATES OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-19",
        "last_updated": "2025-09-12",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-279-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME121555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104740100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.