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FIRST COAST HEART AND VASCULAR AT FLAGLER HEALTH INC. NPI 1528787629


NPI Information

NPI: 1528787629
Provider Name: FIRST COAST HEART AND VASCULAR AT FLAGLER HEALTH INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
100 WHETSTONE PL STE 102
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 342-8300
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FIRST COAST HEART AND VASCULAR AT FLAGLER HEALTH INC. is a cardiovascular disease internal medicine in St 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. FIRST COAST HEART AND VASCULAR AT FLAGLER HEALTH INC. NPI is 1528787629. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 WHETSTONE PL STE 102
ST AUGUSTINE, FL
ZIP 32086-775
Phone: (904) 342-8300

The provider's authorized official is John Wagner .
The authorized official title is Vp Of Revenue Optimization and has the following contact phone number (904) 819-4525.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 10/18/2022.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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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