GARY LANE


Address: 4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone: 9049532000

GARY LANE (NPI# 1174510333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174510333
Entity Type Individual
Full Name GARY LANE
Credential MD
Practice Address 4500 San Pablo Rd S
Jacksonville
FL 32224-1865
Practice Telephone 9049532000
Enumeration Date 2005-10-03
Last Update Date 2020-08-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
ME49065 FL Allopathic & Osteopathic Physicians

Other Providers GARY LANE

NPI Name Taxonomy Address Enumeration
1841282498 Gary E Lane Surgery 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 2005-08-19

Office Location

Street Address 4500 SAN PABLO RD S
City JACKSONVILLE
State FL
Zip Code 32224-1865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891799136 Richard Clarke Agnew Thoracic Surgery (Cardiothoracic Vascular Surgery) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-06-01
1427657964 Brianna Iannarelli Nurse Anesthetist, Certified Registered 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-24
1538768981 Heather Anne Dahlen Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-17
1578161717 Szilvia Fortner Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-10
1265049464 Carolyn Gonzalez Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-09-30
1467065748 Ifeloluwa A Olutola Family Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1366055568 Krina Dipak Vyas Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1356954911 Haleigh Diane Shelton Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-24
1215548805 Victoria Zeilinger Reams Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-16
1558971382 Rachel Marie Hannon Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

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
1114332962 Advanced Vascular Resources of Jacksonville, LLC Internal Medicine 4253 Salisbury Rd, Jacksonville, FL 32216-6121 2014-06-30
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
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32224

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Dataset Information

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.

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