Unknown Individual – Cardiovascular Disease Physician, NPI 1275636805
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Box Tree Court, Arbor Pointe, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322033667
Phone: (904) 224-5189
Fax: (904) 725-1622
Type: Mailing
1348, South 18th Street, Fernandina Beach, Nassau County, Florida, 32034, United States
BLDG B, SUITE 200
FERNANDINA BEACH, FL 320344785
Phone: (904) 261-9786
Fax: (904) 277-4143
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32203)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | FL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 196 | 196 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | FL | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 22 | 18 |
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