Unknown Individual – Cardiovascular Disease Physician, NPI 1164425377
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Park Street, Jacksonville, Duval County, Florida, 32205, United States of America
STE 310
JACKSONVILLE, FL 322042962
Phone: (904) 633-2021
Fax: (904) 633-9793
Type: Mailing
Barrs Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States of America
STE 500
JACKSONVILLE, FL 322044746
Phone: (904) 388-1820
Fax: (904) 388-1827
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32204)
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