FIRST COAST HEART & VASCULAR CENTER P.A. NPI 1366795742

NPI Information

FIRST COAST HEART & VASCULAR CENTER, P.A. 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. FIRST COAST HEART & VASCULAR CENTER, P.A. NPI is 1366795742. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is First Coast Heart & Vascular Center, P.a..

The provider's business location address is:

3901 UNIVERSITY BLVD S
SUITE 221
JACKSONVILLE, FL
ZIP 32216-312
Phone: (904) 423-0010
Fax: (904) 423-0012

The provider's authorized official is Daniel M. Blumenthal .
The authorized official title is Owner and has the following contact phone number (617) 694-1113.

The CLIA number assigned to this NPI record is 10D2052738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 8/9/2021.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.