SOUTHERN HEART GROUP PA NPI 1336313451

NPI Information

  • NPI: 1336313451
  • Provider Name: SOUTHERN HEART GROUP PA
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: ST LUKES CARDIOLOGY ASSOCIATES A
  • Address: 6867 SOUTHPOINT DR N
    SUITE 111
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 296-0278

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NPI Details

SOUTHERN HEART GROUP PA is a cardiovascular disease internal medicine in Jacksonville, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SOUTHERN HEART GROUP PA NPI is 1336313451. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Lukes Cardiology Associates A.

The provider's business location address is:

6867 SOUTHPOINT DR N
SUITE 111
JACKSONVILLE, FL
ZIP 32216-043
Phone: (904) 296-0278
Fax: (904) 296-0279

The provider's authorized official is George Pilcher .
The authorized official title is President and has the following contact phone number (904) 388-1820.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/18/2008.

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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
199568MEDICARE PINFLORIDA

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: 3/30/2025

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