Organization Active NPI

Center for Cardiac & Vascular Intervention, LLC

  • Ambulatory Surgical Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1417864174
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTER FOR CARDIAC & VASCULAR INTERVENTION, LLC
Practice address
1801 Miccosukee Commons Dr Ste 100
Tallahassee, FL 32308-5433
Phone
(850) 509-7567
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Daniel Stannard, RN
Title
Sr Administrator
Phone
(850) 509-7567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1801 Miccosukee Commons Dr Ste 100
Tallahassee, FL 32308-5433

Mailing address

1801 Miccosukee Commons Dr Ste 100
Tallahassee, FL 32308-5433

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1417864174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MICCOSUKEE COMMONS DR STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MICCOSUKEE COMMONS DR STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085433",
            "telephone_number": "850-509-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CARDIAC & VASCULAR INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "STANNARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SR ADMINISTRATOR",
        "authorized_official_telephone_number": "850-509-7567",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.