Vincent James Caracciolo (NPI# 1952446908, PAC ID# 6709822133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1952446908 |
PAC ID by PECOS | 6709822133 |
Professional Enrollment ID | I20050707000177 |
Full Name | Vincent James Caracciolo |
Organization Legal Name | FIRST COAST HEART AND VASCULAR CENTER,PA |
Address |
1000 Plantation Dr S Suite 9 St Augustine FL 32080 |
Phone Number | 9049983624 |
Gender | M |
Credential | MD |
Graduation Year | 1999 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 0446404859 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100090 | FLAGLER HOSPITAL |
Address | Phone | Organization |
---|---|---|
3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 | 9044230010 | FIRST COAST HEART AND VASCULAR CENTER,PA |
1000 Plantation Dr S, Suite 9, St Augustine, FL 32080 | 9049983624 | FIRST COAST HEART AND VASCULAR CENTER,PA |
Organization Legal Name | FIRST COAST HEART AND VASCULAR CENTER,PA |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neil K Sanghvi | Cardiac Electrophysiology | First Coast Heart and Vascular Center,pa | 1000 Plantation Dr S, Suite 9, St Augustine, FL 32080 |
Michael J Koren | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Sunil P Singh | Interventional Cardiology | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Lilla Gayle Martin | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
David R Grech | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 |
Betsy L Geraci | Physician Assistant | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Margaret Gannaway | Nurse Practitioner | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Randall C Mathson | Physician Assistant | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Marissa Lynch | Physician Assistant | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Kevin M Hayes | Cardiovascular Disease (cardiology) | First Coast Heart and Vascular Center,pa | 3901 University S Blvd, Suite 221, Jacksonville, FL 32216-4392 |
Street Address |
1000 PLANTATION DR S SUITE 9 |
City | ST AUGUSTINE |
State | FL |
Zip | 32080 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neil K Sanghvi | Cardiac Electrophysiology | First Coast Heart and Vascular Center,pa | 1000 Plantation Dr S, Suite 9, St Augustine, FL 32080 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tomas Alejandro Moreno | Ophthalmology | Florida Retina Institute James A Staman Md Pa | 1100 Plantation Blvd, Suite 130, Saint Augustine, FL 32080 |
Allen M Deprey | Chiropractic | 2180 Aia S, Suite 100, St Augustine, FL 32080 | |
Richard Greene | Optometry | 2225 A1a, Suite C2, St Augustine, FL 32080-2917 | |
Jawad S Farhat | Internal Medicine | Saint Augustine Hospitalists Primary Care | 1301 Plantation Island Dr S, Suite 106a, St Augustine, FL 32080-3109 |
Barry F Dobies | Internal Medicine | 1301 Plantation Island Dr S, 104a, St Augustine, FL 32080-3109 | |
Qixia Huang | Internal Medicine | 1301 Plantation Island Dr S, Suite 102a, St Augustine, FL 32080-3109 | |
Sherri Lee Maetozo | Obstetrics/gynecology | Integrated Womens Health LLC | 1301 Plantation Island Dr S, Suite 103, St Augustine, FL 32080-3109 |
Gwendolyn Marie Spong | Nurse Practitioner | Saint Augustine Hospitalists Primary Care | 1301 Plantation Island Dr S, Suite 106a, St Augustine, FL 32080-3109 |
Leiane M Boudreau | Nurse Practitioner | Medical Professionals of North Florida | 1301 Plantation Island Dr S, Suite 106a, Saint Augustine, FL 32080-3109 |
Melchor Barros | Family Medicine | 1301 Plantation Island S Dr, 102b, Saint Augustine, FL 32080-3110 | |
Find all physicians in zip 32080 |
City | ST AUGUSTINE |
Zip Code | 32080 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | ST AUGUSTINE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.