DAT VU


Address: 3625 University Blvd S, Jacksonville, FL 32216-4207
Phone: 9043996111

DAT VU (NPI# 1982151353) 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) 1982151353
Entity Type Individual
Full Name DAT VU
Practice Address 3625 University Blvd S
Jacksonville
FL 32216-4207
Mailing Address 3518 Brandywine Rd Nw
Kennesaw
GA 30144-6060
Practice Telephone 9043996111
Mailing Telephone 4044063730
Enumeration Date 2016-09-02
Last Update Date 2018-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367H00000X Anesthesiologist Assistant 8171 GA Physician Assistants & Advanced Practice Nursing Providers
Y 367H00000X Anesthesiologist Assistant AA447 FL Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA STATE OF GEORGIA MEDICAL BOARD 8171 01
FL STATE OF FL DEPARTMENT OF HEALTH AA447 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3518 Brandywine Rd Nw, Kennesaw, GA 301446060 4044063730

Other Providers DAT VU

NPI Name Taxonomy Address Enumeration
1013548288 Dat Vu Pharmacy Technician 500 Congress Ave, Austin, TX 78701-3502 2020-01-28
1386023158 Dat Phat Vu Student in an Organized Health Care Education/Training Program 1120 15th Street, Anesthesiology and Perioperative Medicine, Augusta, GA 30912 2015-05-26

Office Location

Street Address 3625 UNIVERSITY BLVD S
City JACKSONVILLE
State FL
Zip Code 32216-4207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588664395 Karen Elizabeth Anderson Anesthesiology 3625 University Blvd S, Jacksonville, FL 32216-4207 2005-07-22
1174122071 Deleah Rene Pickler Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-10-21
1801401641 Kara N Cordova Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2020-09-09
1174153654 Marina Follick Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-01-23
1649818337 Sarah Chapman Farris Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-13
1487291837 Lee Willingham Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-04
1609411586 Kyle Steven Scott Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-11-14
1982246328 Amy Marie Suralis Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-10-16
1396391991 Sarah Siebrandt Occupational Therapist 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-08-11
1790347979 Leda Hansen Nurse Practitioner 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-07-08
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Providers in the same zip code

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 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992327308 Daniel Le Phan Anesthesiologist Assistant 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 2020-05-08
1497395412 Charles Joshua Thrower Anesthesiologist Assistant 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 2020-01-07
1659856862 Ian Michael Durham Anesthesiologist Assistant 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 2018-10-03
1538535711 Zeyla Rivero Anesthesiologist Assistant 11430 Tiara Way E, Jacksonville, FL 32223-7860 2015-08-11
1902206584 Maria Williamson Anesthesiologist Assistant 1815 Bayard Pl, Jacksonville, FL 32205-8803 2014-09-02
1659705655 Jessica Hyams Kennedy Anesthesiologist Assistant 820 Prudential Dr Ste 606, Jacksonville, FL 32207-8208 2013-08-26
1194003228 Miguel Mancao IIi Anesthesiologist Assistant 10199 Southside Blvd Ste 101, Jacksonville, FL 32256-0757 2011-07-22
1285247411 Victoria Potts Anesthesiologist Assistant 4201 Belfort Rd, Jacksonville, FL 32216-1431 2020-08-27
1760090302 Matthew Ryan Jones Anesthesiologist Assistant 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-07-20
1295353407 Taylor Rush Cowart Anesthesiologist Assistant 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-07-14
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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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