CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC – NPI #1063131712
Clinic/Center

CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC is an AHC clinic located in PANAMA CITY, FL. NPPES has assigned the NPI number 1063131712 to CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC on August 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Mar 31, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC below.

NPI Profile for
CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC

NPI Number
1063131712
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC
Primary location
625 W BALDWIN RD STE D
PANAMA CITY, FL 32405-3359
Phone: (850) 820-7900 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBERLEY MCILLWAIN
ADMINISTRATOR
Phone: (850) 820-7900
Updated
Certification Date
Mar 31, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
625 W BALDWIN RD STE D,
PANAMA CITY, FL 77025-1669