Southern Cardiac and Vascular Associates, LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SOUTHERN CARDIAC AND VASCULAR ASSOCIATES, LLC

Practice address

1405 Centerville Rd Ste 5000
Tallahassee, FL 32308-4663

Phone

(850) 878-6164

Fax

(850) 656-5575

NPI assigned

Nov 12, 2013

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Gunn

Title

Ins/PT Accounts Administrator

Phone

(850) 878-6164

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1831529866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 5000",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084663",
            "telephone_number": "850-878-6164",
            "fax_number": "850-656-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 5000",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084663",
            "telephone_number": "850-878-6164",
            "fax_number": "850-656-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARDIAC AND VASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "INS/PT ACCOUNTS ADMINISTRATOR",
        "authorized_official_telephone_number": "850-878-6164"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Surgical Group PA
• Southeastern Therapy Services, LLC
• Southeastern Urological Center PA
• Southeastern Urological Partners LLC (Southeastern Surgery Center)
• Lauren E Southerland
• Southern Internal Medicine Associates, PLLC
• Southern Interventional Pain Center LLC
• Southern Medical Group, PA
• Southern Medical Group, PA
• Southern Vitreoretinal Associates, PL

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.