CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA


Address: 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269
Phone: 9043994120

CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA (NPI# 1487757092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487757092
Entity Type Organization
Organization Name CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA
Practice Address 3599 University Blvd South
Suite 913
Jacksonville
FL 32216-4269
Practice Telephone 9043994120
Practice Fax Number 9043995940
Mailing Telephone 9043994120
Mailing Fax Number 9043995940
Enumeration Date 2006-09-07
Last Update Date 2011-09-20
Authorized Official Name DR. LAWRENCE J KANTER (PRESIDENT OWNER)
Authorized Official Telephone 9043994120
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 0609919 05

Office Location

Street Address 3599 UNIVERSITY BLVD SOUTH
SUITE 913
City JACKSONVILLE
State FL
Zip Code 32216-4269

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023275435 Christopher Mark Helenthal Occupational Therapist 3599 University Blvd South, Brooks Health Care, Jacksonville, FL 32216 2008-05-22

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NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598182552 Maedeh Ganji Internal Medicine 653 W 8th St # L-18, Jacksonville, FL 32209-6511 2014-03-27
1649696691 Carolinaeast Physicians Internal Medicine 4725 Western Blvd, Jacksonville, NC 28546-6852 2014-03-14
1093151888 Alejandro Pena Jr. Internal Medicine 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 2013-05-20
1669696407 Ruple Jayantilal Galani Internal Medicine 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 2007-04-12
1154408656 Heart Clinic of Jacksonville, LLC Internal Medicine 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 2006-11-01
1316958838 Valerie Mcnee Internal Medicine 1 Red Fox Ln, Jacksonville, AR 72076-2513 2006-08-10
1306895438 Diagnostic Cardiology Pa Internal Medicine 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 2006-05-08
1790743854 Baptist Cardiology, Inc. Internal Medicine 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 2006-05-01
1386601896 James C Campbell Internal Medicine 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 2006-04-27
1184680985 Paul H Dillahunt II Internal Medicine 820 Prudential Dr Ste 112, Credentialing Department, Jacksonville, FL 32207-8204 2006-04-21
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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