CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
NPI 1245111335
Surgery in Jacksonville, FL

Q: What is Cardiothoracic & Vascular Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 08, 2025CLIA 10D1106422 · Waiver

1824 KING ST STE 200, JACKSONVILLE, FL 32204(850) 479-1805 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cardiothoracic & Vascular Surgical Associates Pa NPPES

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

CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA (NPI 1245111335) is a healthcare organization registered as a surgery in Jacksonville, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Larry D Taylor, Group President, Operations, as its authorized official.

NPPES Registry Identity

NPI1245111335

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA

Location Address1824 KING ST STE 200Jacksonville, FL 32204-4736

Mailing Address4451 Bayou BlvdPensacola, FL 32503-2601 · (850) 479-1805

Phone(850) 479-1805

Organization SubpartNo

Authorized OfficialLarry D TaylorGroup President, Operations · (205) 987-4003

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1245111335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1824 KING ST STE 200, Jacksonville, FL 32204

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 10D1106422

Cardiothoracic & Vascular Surgical Associates, PA · Pensacola, FL

Active · expires Oct 12, 2027

CLIA Number10D1106422

Laboratory TypePhysician Office

Certificate Effective DateOctober 13, 2025

Certificate Expiration DateOctober 12, 2027

Laboratory DirectorChristopher Bosarge

Laboratory Phone(904) 421-5580

Laboratory LocationCardiothoracic & Vascular Surgical Associates, PA1851 N 9th Ave Ste B, Pensacola, FL 32503

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. CHADWICK WILLIAM STOUFFER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)