NPI Profile for CARDIOTHORACIC VASCULAR SURGICAL ASSOCIATES PA in JACKSONVILLE, FL.
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Phlebology |
202K00000X | |||
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Surgery |
208600000X | 02 | Physician/General Surgery | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI # | 1851403125 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/31/2006 | |
| Last updated | 04/17/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES PA
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