NOVOCARDIA JACKSONVILLE ASC LLC – NPI #1356068142
Clinic/Center

NOVOCARDIA JACKSONVILLE ASC LLC is an AHC clinic located in PONTE VEDRA BEACH, FL. NPPES has assigned the NPI number 1356068142 to NOVOCARDIA JACKSONVILLE ASC LLC on October 24, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVOCARDIA JACKSONVILLE ASC LLC below.

NPI Profile for
NOVOCARDIA JACKSONVILLE ASC LLC

NPI Number
1356068142
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVOCARDIA JACKSONVILLE ASC LLC
Primary location
153 FORT WADES ROAD
PONTE VEDRA BEACH, FL 32081
Phone: (904) 423-0010 Fax:
Mailing address
PO BOX 47170
JACKSONVILLE, FL 32247-7170
Phone: (904) 423-0010 Fax:
Organization Subpart
No
Authorized Official
DAN BLUMENTHAL
OWNER
Phone: (617) 694-1113
Updated
Certification Date
Oct 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.