Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Cardiovascular & Thoracic Surgeons, LLC

Organization Vascular Surgery Physician · NPI 1962831883

Atlantic Cardiovascular & Thoracic Surgeons, LLC provides Vascular Surgery Physician services in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1240 W Granada Blvd Fl 2
Ormond Beach, FL 32174-5915
Phone: (862) 366-8543
Fax: (862) 632-9963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence ME36700 (FL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence ME36700 (FL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence ME58979 (FL)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence ME58979 (FL)

Record details

NPI number1962831883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Johnson — Operating Manager · (386) 672-9503
Other names Coastal Cardiovascular & Thoracic Associates, P.A.
NPI enumeratedNovember 1, 2013
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address1240 W Granada Blvd Fl 2, Ormond Beach, FL 32174-5915

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