HEART CENTER OF SAINT AUGUSTINE PA NPI 1215238563

NPI Information

NPI: 1215238563
Provider Name: HEART CENTER OF SAINT AUGUSTINE, PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
301 HEALTH PARK BLVD STE 329
SAINT AUGUSTINE, FL
ZIP 32086
Phone: (904) 825-4333
Get Directions

HEART CENTER OF SAINT AUGUSTINE, PA is a cardiovascular disease internal medicine in Saint Augustine, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HEART CENTER OF SAINT AUGUSTINE, PA NPI is 1215238563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 HEALTH PARK BLVD STE 329
SAINT AUGUSTINE, FL
ZIP 32086-771
Phone: (904) 825-4333
Fax: (904) 825-4248

The provider's authorized official is Krishna Sikaria .
The authorized official title is Physcian and has the following contact phone number (904) 825-4333.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 11/3/2010.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	ME0064435	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	375418900	MEDICAID	FLORIDA
2	060052505	OTHER	FLORIDA	RAILROAD MEDICARE
3	25436A	OTHER		MEDICARE PARTICIPATION ID
4	F57000	MEDICARE UPIN	FLORIDA
5	25436	OTHER	FLORIDA	FL BLUE CROSS BLUE SHIELD

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

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