CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC - NPI 1063131712

Q: What is Cardiovascular Surgical Institute Of NW Florida, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

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About Cardiovascular Surgical Institute Of Nw Florida, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC (NPI 1063131712) is a healthcare organization registered as an ambulatory surgical in Panama City, Florida and active in the NPI registry since August 2022. The organization holds an CLIA Accreditation certificate valid through March 8, 2028 and lists Kimberley Mcillwain, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063131712

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC

Location Address625 W BALDWIN RD STE DPanama City, FL 32405-3359

Mailing Address625 W Baldwin Rd Ste DPanama City, FL 32405-3359 · (850) 820-7900 · Fax (850) 448-2927

Phone(850) 820-7900

Organization SubpartNo

Authorized OfficialKimberley McillwainAdministrator · (850) 820-7900

Enumeration DateAugust 25, 2022

Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1063131712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

625 W BALDWIN RD STE D, Panama City, FL 32405

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2326237

Cardiovascular Surgical Institute Of NW Florida · Panama City, FL

Active · expires Mar 8, 2028

CLIA Number10D2326237

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 9, 2026

Certificate Expiration DateMarch 8, 2028

Laboratory DirectorJulie Russo

Laboratory Phone(850) 820-7900

Laboratory LocationCardiovascular Surgical Institute Of NW Florida625 W Baldwin Road Suite D, Panama City, FL 32405

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDIOVASCULAR INSTITUTE OF NW FLORIDA CENTER OF EXCELLENCE, LLC

Internal Medicine

625 W BALDWIN RD STE D
PANAMA CITY, FL 32405

Bay County (210) 621-5621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cardiovascular Surgical Institute Of NW Florida, LLC's NPI number?

The NPI number for Cardiovascular Surgical Institute Of NW Florida, LLC is 1063131712. It was assigned to this organization in the NPPES registry on August 25, 2022.

Where is Cardiovascular Surgical Institute Of NW Florida, LLC located?

Cardiovascular Surgical Institute Of NW Florida, LLC is located at 625 W Baldwin Rd Ste D, Panama City, FL 32405. The listed phone number is (850) 820-7900.

What is Cardiovascular Surgical Institute Of NW Florida, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Cardiovascular Surgical Institute Of NW Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2326237) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cardiovascular Surgical Institute Of NW Florida, LLC was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.