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CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA NPI 1487757092


NPI Information

NPI: 1487757092
Provider Name: CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3599 UNIVERSITY BLVD SOUTH
SUITE 913
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-4120
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CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE 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. CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA NPI is 1487757092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3599 UNIVERSITY BLVD SOUTH
SUITE 913
JACKSONVILLE, FL
ZIP 32216-269
Phone: (904) 399-4120
Fax: (904) 399-5940

The provider's authorized official is Lawrence J Kanter .
The authorized official title is President Owner and has the following contact phone number (904) 399-4120.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 9/20/2011.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E11906MEDICARE UPIN
2AM007MEDICARE PINFLORIDA
30609919MEDICAIDFLORIDA

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

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.