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ADVANCED VASCULAR RESOURCES OF JACKSONVILLE LLC NPI 1114332962


NPI Information

NPI: 1114332962
Provider Name: ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC

Other Name: AVR OF JACKSONVILLE

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
4253 SALISBURY RD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 416-1540
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ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC is an interventional cardiology internal medicine in Jacksonville, FL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC NPI is 1114332962. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Avr Of Jacksonville.

The provider's business location address is:

4253 SALISBURY RD
JACKSONVILLE, FL
ZIP 32216-121
Phone: (904) 416-1540
Fax: (904) 425-2137

The provider's authorized official is Barbara Odare .
The authorized official title is Chief Executive Officer and has the following contact phone number (301) 434-0050.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 9/4/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11205279122OTHERNEW JERSEYNPI

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: 11/14/2023

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