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CARDIOLOGY ASSOCIATES OF GAINESVILLE NPI 1720226772


NPI Information

NPI: 1720226772
Provider Name: CARDIOLOGY ASSOCIATES OF GAINESVILLE
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
922 E CALL ST
STARKE, FL
ZIP 32091
Phone: (904) 368-2300
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CARDIOLOGY ASSOCIATES OF GAINESVILLE is a cardiovascular disease internal medicine in Starke, 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. CARDIOLOGY ASSOCIATES OF GAINESVILLE NPI is 1720226772. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

922 E CALL ST
STARKE, FL
ZIP 32091-616
Phone: (904) 368-2300

The provider's authorized official is Norma J. Wyckoff .
The authorized official title is Business Office Manager and has the following contact phone number (352) 375-1212.

The enumeration date for this NPI number is 1/29/2009 and was last updated on 1/29/2009.


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 DiseaseFLORIDAYes

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
199167MEDICARE UPINFLORIDA
2060906400MEDICAIDFLORIDA

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: 5/5/2024

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