ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC – NPI #1114332962
Internal Medicine

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.

ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1114332962 to ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC on June 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC is also known by the name AVR OF JACKSONVILLE. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 12 years ago on Sep 04, 2014. 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 ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC below.

NPI Profile for
ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC

NPI Number
1114332962
Enumeration Date

(about 12 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
ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC
Other Name: AVR OF JACKSONVILLE
Primary location
4253 SALISBURY RD
JACKSONVILLE, FL 32216-6121
Phone: (904) 416-1540 Fax: (904) 425-2137
Mailing address
1700 ELTON RD
SUITE 201
SILVER SPRING, MD 20903-1752
Phone: (904) 416-1540 Fax: (904) 425-2137
Organization Subpart
No
Authorized Official
BARBARA ODARE
CHIEF EXECUTIVE OFFICER
Phone: (301) 434-0050
Updated
Identifiers

Identifiers for ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPINJ1205279122
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
207RI0011X
- Internal Medicine / Interventional Cardiology (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.