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Contact Information

ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC
4253 SALISBURY RD
JACKSONVILLE, FL32216-6121
 Phone: 904-416-1540
 Fax: 904-425-2137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC

NPI # 1114332962
LBN Legal business name ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC
Authorized official BARBARA ODARE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2014
Last updated 09/04/2014 - About 12 years ago
Identifiers
NJ Other 1205279122 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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