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: (850) 820-7900
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 10D2326237
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-08-2028
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 March 2026. The authorized official of this NPI record is Kimberley Mcillwain Rn (Administrator)
- 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
- (850) 820-7900
- Mailing Address
- 625 W BALDWIN RD STE D PANAMA CITY, FL 32405
- Mailing Phone
- (850) 820-7900
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2022
- Last Update Date
- 03-31-2026
- Code Navigator
Location Map
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
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2326237
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 09, 2026
- Certificate Expiration Date
- March 08, 2028
- Laboratory Director
- JULIE RUSSO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Cardiovascular Surgical Institute Of Nw Florida, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063131712, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PANAMA CITY, FL 32405
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 (850) 820-7900.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
