OrganizationActive
Cardiovascular Surgical Institute of Nw Florida, LLC
NPI 1063131712 · Ambulatory Surgical Clinic/Center · Panama City, FL
Provider details
- NPI number
- 1063131712
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberley Mcillwain, Administrator(850) 820-7900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 W Baldwin Rd Ste D
Panama City, FL 32405-3359
Phone: (850) 820-7900
Street-level locationGet directions
Mailing address
625 W Baldwin Rd Ste D
Panama City, FL 32405-3359
Registry dates
- Enumerated
- 2022-08-25
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.