ADVANCED ENDOVASCULAR INSTITUTE (NPI# 1497361943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497361943 |
| Entity Type | Organization |
| Organization Name | ADVANCED ENDOVASCULAR INSTITUTE |
| Practice Address |
2460 Old Moultrie Rd Ste 3 St Augustine FL 32086-4198 |
| Mailing Address |
209 Pinehurst Pointe Dr Saint Augustine FL 32092-3703 |
| Practice Telephone | 3862329203 |
| Practice Fax Number | 3862223064 |
| Mailing Telephone | 3862329203 |
| Mailing Fax Number | 3862223064 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | IMRAAN ANSAARIE (OWNER) |
| Authorized Official Telephone | 3862329203 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2460 OLD MOULTRIE RD STE 3 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-4198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437684032 | Jeremy Caudill Do | Surgery | 2460 Old Moultrie Rd Ste 3, St Augustine, FL 32086-4198 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964722 | Baptist Cardiology Inc | Internal Medicine | 533 W Twincourt Trl Ste 701&702, St Augustine, FL 32095-8884 | 2018-06-05 |
| 1407038169 | Primecare Pl | Internal Medicine | 2720 Us Highway 1 S # B, St Augustine, FL 32086-6301 | 2007-12-04 |
| 1770108706 | Ansaarie Cardiac & Endovascular Center of Excellence | Internal Medicine | 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 | 2020-06-16 |
| 1659812394 | First Coast Cardiovascular | Internal Medicine | 665 State Road 207, Suite 102, St Augustine, FL 32084-5938 | 2017-03-14 |
| 1043515208 | Laurence M Matthews Md LLC | Internal Medicine | 3100 Us 1 S, #3, St Augustine, FL 32086-6351 | 2011-01-20 |
| 1770887176 | St Augustine Cardiology LLC | Internal Medicine | 3100 Us 1 S, Suite 3, St Augustine, FL 32086-6351 | 2010-12-29 |
| 1548463045 | Antoine B Abchee | Internal Medicine | 300 Health Park Blvd, Suite 1006, St Augustine, FL 32086-3707 | 2007-06-11 |
| 1194926626 | St Johns Cardiovascular Pa | Internal Medicine | 300 Health Park Blvd, Ste 1000, St Augustine, FL 32086-3707 | 2007-05-31 |
| 1831284306 | Robert C Kelsey | Internal Medicine | 2720 Us Highway 1 S, Ste B, St Augustine, FL 32086-6301 | 2006-10-03 |
| 1982798740 | Robert C Kelsey Md Pa | Internal Medicine | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2006-10-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| 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.