CARDIOVASCULAR CENTER OF AMERICA NPI 1063975175

NPI Information

NPI: 1063975175
Provider Name: CARDIOVASCULAR CENTER OF AMERICA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
404 NW HALL OF FAME DR
LAKE CITY, FL
ZIP 32055
Phone: (856) 335-5025
Get Directions

CARDIOVASCULAR CENTER OF AMERICA is a vascular surgery surgery in Lake City, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CARDIOVASCULAR CENTER OF AMERICA NPI is 1063975175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

404 NW HALL OF FAME DR
LAKE CITY, FL
ZIP 32055-833
Phone: (856) 335-5025
Fax: (856) 213-9269

The provider's authorized official is James O'dare .
The authorized official title is Principal and has the following contact phone number (856) 335-5025.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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