LEESBURG CARDIOVASCULAR ASSOCIATES LLC - NPI 1952346017 - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Leesburg, FL

Q: What is Leesburg Cardiovascular Associates LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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About Leesburg Cardiovascular Associates Llc NPPES

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

LEESBURG CARDIOVASCULAR ASSOCIATES LLC (NPI 1952346017) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Leesburg, Florida and active in the NPI registry since June 2006. The organization lists Treva D Widdis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952346017

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameLEESBURG CARDIOVASCULAR ASSOCIATES LLC

Location Address700 DOCTORS CTLeesburg, FL 34748-7314

Mailing Address700 Doctors CtLeesburg, FL 34748-7314 · (352) 787-9838 · Fax (352) 787-8705

Phone(352) 787-9838

Fax(352) 787-8705

Organization SubpartYesParent: Florida Heart And Vascular Surgeons, Pa

Authorized OfficialTreva D WiddisAdministrator · (352) 787-9838

Enumeration DateJune 20, 2006

Last NPPES UpdateJune 29, 20202 updates tracked since enumeration

NPPES CertifiedJune 29, 2020

✔ NPI 1952346017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

700 DOCTORS CT, Leesburg, FL 34748

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Other Identifiers 2

Other21949FL · Bcbs Of Florida

Medicaid255785100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

JEAN EMILCAR M.D.

Anesthesiology