ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC (NPI# 1114332962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114332962 |
| Entity Type | Organization |
| Organization Name | ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC |
| Other Organization Name | AVR OF JACKSONVILLE |
| Practice Address |
4253 Salisbury Rd Jacksonville FL 32216-6121 |
| Mailing Address |
1700 Elton Rd Suite 201 Silver Spring MD 20903-1752 |
| Practice Telephone | 9044161540 |
| Practice Fax Number | 9044252137 |
| Mailing Telephone | 9044161540 |
| Mailing Fax Number | 9044252137 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | BARBARA ODARE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3014340050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI | 1205279122 | 01 |
| Other Name | Type Code |
|---|---|
| AVR of Jacksonville | Other Name - Individual/Organization |
| Street Address |
4253 SALISBURY RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492597 | Anibal A. Sanchez-salazar | Anesthesiology | 4253 Salisbury Rd, Jacksonville, FL 32216-6121 | 2005-07-22 |
| 1215547625 | Ashley Faulk | Student in an Organized Health Care Education/Training Program | 4253 Salisbury Rd, Jacksonville, FL 32216-6121 | 2020-08-01 |
| 1811396161 | New Life Surgical Associates Pllc | Surgery | 4253 Salisbury Rd, Jacksonville, FL 32216 | 2014-08-21 |
| 1871764498 | Abdel Rodriguez | Registered Nurse | 4253 Salisbury Rd, Jacksonville, FL 32216-6121 | 2008-03-24 |
| 1790705416 | Sunil K Sharma | Surgery | 4253 Salisbury Rd, Jacksonville, FL 32216 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1366950230 | Cardiac Cin of Jacksonville LLC | Internal Medicine | 1301 Riverplace Blvd # 800c, Jacksonville, FL 32207-9047 | 2018-01-13 |
| 1982677068 | Abdul Rahman Kani | Internal Medicine | 8245 Bayberry Rd, Jacksonville, FL 32256-7432 | 2006-02-09 |
| 1881197044 | John-paul Pham | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3405 | 2018-03-14 |
| 1891294856 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256 | 2018-02-06 |
| 1013375195 | Duval Vascular Center, LLC | Internal Medicine | 915 W Monroe St, Suite 100, Jacksonville, FL 32204-1177 | 2016-02-04 |
| 1992058333 | Omar Marwan Hamoui | Internal Medicine | 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 | 2012-10-23 |
| 1760751598 | Baptist Cardiology, Inc. | Internal Medicine | 3563 Phillips Hwy Ste 106a, Credentialing Department, Jacksonville, FL 32207-5663 | 2011-12-22 |
| 1285936625 | Gabriel T Faz | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2010-11-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.