Active NPI
Cardiothoracic & Vascular Surgical Associates PA
- Surgery Physician
- Jacksonville, FL
National Provider Identifier
1245111335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
- Practice address
- 1824 King St Ste 200
Jacksonville, FL 32204-4736 - Phone
- (850) 479-1805
- NPI assigned
- Sep 8, 2025
- Last updated
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry D Taylor
- Title
- Group President, Operations
- Phone
- (205) 987-4003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
1824 King St Ste 200
Jacksonville, FL 32204-4736
Mailing address
4451 Bayou Blvd
Pensacola, FL 32503-2601
Phone (850) 479-1805
National Provider Directory
National Provider DirectoryLocations
1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jacksonville, FL
- NPI 1043212269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1245111335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4451 BAYOU BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032601",
"telephone_number": "850-479-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 KING ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044736",
"telephone_number": "850-479-1805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "GROUP PRESIDENT, OPERATIONS",
"authorized_official_telephone_number": "205-987-4003"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.