CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC
NPI 1063131712
Clinic/Center - Ambulatory Surgical in Panama City, FL

NPI Status: Active since August 25, 2022

Contact Information

625 W BALDWIN RD STE D
PANAMA CITY, FL
ZIP 32405
Phone: (210) 621-5621

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC

This page provides the complete NPI Profile along with additional information for Cardiovascular Surgical Institute Of Nw Florida, Llc, a provider established in Panama City, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1063131712 assigned on August 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Kimberley Mcillwain (Authorized Official)

NPI
1063131712
Provider Name
CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC
Entity Type
Organization
Location Address
625 W BALDWIN RD STE D PANAMA CITY, FL 32405
Location Phone
(210) 621-5621
Mailing Address
13830 SAWYER RANCH RD STE 105 DRIPPING SPRINGS, TX 78620
Mailing Phone
(210) 621-5621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2022
Last Update Date
06-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLEY MCILLWAIN

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(609) 575-5854

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063131712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012323272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 3 + 2 + 7 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1063131712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

CARDIOVASCULAR INSTITUTE OF NW FLORIDA CENTER OF EXCELLENCE, LLC

Internal Medicine

625 W BALDWIN RD STE D
PANAMA CITY, FL
ZIP 32405

(210) 621-5621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063131712, enumerated as an "organization" on August 25, 2022.

The provider is located at 625 W BALDWIN RD STE D PANAMA CITY, FL 32405 and the phone number is (210) 621-5621.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.