Organization · Type 2 NPI

ST Johns Cardiovascular PA

Cardiovascular Disease Physician · St. Augustine, FL

NPI number 1194926626 Active

Practice location

300 Health Park Blvd, Ste 1000
St. Augustine, FL 32086-3707

Fax (904) 810-1046

Mailing address

PO Box 348
St. Augustine, FL 32085-0348

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XME45744 (FL)

Cardiovascular Disease Physician: 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.

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About NPI 1194926626

ST Johns Cardiovascular PA's National Provider Identifier is 1194926626, issued on May 31, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 11, 2011.