DUVAL VASCULAR CENTER, LLC (NPI# 1013375195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013375195 |
| Entity Type | Organization |
| Organization Name | DUVAL VASCULAR CENTER, LLC |
| Practice Address |
915 W Monroe St Suite 100 Jacksonville FL 32204-1177 |
| Mailing Address |
3001 Palm Harbor Blvd Ste A Palm Harbor FL 34683-1930 |
| Practice Telephone | 9045181398 |
| Practice Fax Number | 9045130231 |
| Mailing Telephone | 7274740090 |
| Mailing Fax Number | 7274740055 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | JANET R. DEES (MANAGING MEMBER) |
| Authorized Official Telephone | 7274740090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
915 W MONROE ST SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252523 | David R Sutton Jr. | Specialist | 915 W Monroe St, Ste 200, Jacksonville, FL 32204-1177 | 2005-06-02 |
| 1558870345 | Habibu Barrie | Nurse Practitioner | 915 W Monroe St, Jacksonville, FL 32204-1177 | 2017-09-25 |
| 1215475157 | Christine Lee | Physician Assistant | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2017-02-10 |
| 1962954990 | Diana Ugljesic | Nurse Practitioner | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2016-10-25 |
| 1205381571 | Kathleen Frank Fort | Nurse Practitioner | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2016-08-16 |
| 1407204845 | Angel Coffey | Nurse Practitioner | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2016-05-26 |
| 1730534470 | Health Suite Inc | Internal Medicine | 915 W Monroe St, Suite 301, Jacksonville, FL 32204-1177 | 2016-05-02 |
| 1518232065 | Sca Dermatology, LLC | Dermatology | 915 W Monroe St, S. 101, Jacksonville, FL 32204-1177 | 2012-03-16 |
| 1992070585 | North East Florida Endocrine and Diabetes Assoc Pa | Durable Medical Equipment & Medical Supplies | 915 W Monroe St, Ste 200, Jacksonville, FL 32204-1177 | 2012-03-14 |
| 1467772780 | Gina Michelle Mele | Internal Medicine | 915 W Monroe St, Suite 301 Lavilla 2 Bldg., Jacksonville, FL 32204-1177 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1245477991 | University of Florida College of Medicine | Clinic/Center | 4539 Beach Blvd, Jacksonville, FL 32207-4738 | 2009-01-17 |
| 1376753632 | Mclane Medical, Inc. | Clinic/Center | 140 Gateway Cir Unit 6, Jacksonville, FL 32259-4085 | 2007-05-23 |
| 1801457296 | Integrity Spine and Orthopedics, LLC | Clinic/Center | 4235 Sunbeam Rd, Jacksonville, FL 32257-6013 | 2019-06-26 |
| 1023405065 | Mayo Clinic | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-04-16 |
| 1518361393 | Ace Diagnostics LLC | Clinic/Center | 8130 Baymeadows Cir, Suite #109, Jacksonville, FL 32256-1880 | 2014-10-22 |
| 1164677332 | Carolina Pines Medical, PC | Clinic/Center | 3215 Henderson Dr, Jacksonville, NC 28546-5251 | 2008-12-01 |
| 1952551467 | Academic Dermatology Consultants Pa | Clinic/Center | 1514 Nira St, Jacksonville, FL 32207-9702 | 2008-09-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.