Provider Type Icon

CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A NPI 1104083351


NPI Information

NPI: 1104083351
Provider Name: CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A

Doing Business As: CARDIOJAX

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
1406 RIDGETREE TRAILS DR
WILDWOOD, MO
ZIP 63021
Phone: (904) 998-7747
Get Directions

CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A is an interventional cardiology internal medicine in Wildwood, MO. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A NPI is 1104083351. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiojax.

The provider's business location address is:

1406 RIDGETREE TRAILS DR
WILDWOOD, MO
ZIP 63021-930
Phone: (904) 998-7747

The provider's authorized official is Joseph Andrew Moore .
The authorized official title is President and has the following contact phone number (904) 998-7747.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 12/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyME86388FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.