Duval Vascular Center, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DUVAL VASCULAR CENTER, LLC

Practice address

915 W Monroe St
Suite 100
Jacksonville, FL 32204-1177

Phone

(904) 518-1398

Fax

(904) 513-0231

NPI assigned

Feb 4, 2016

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janet R. Dees

Title

Managing Member

Phone

(727) 474-0090

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John-Paul Pham, MD

  • Interventional Cardiology Physician
  • Jacksonville, FL
  • NPI 1841491503
  Medicare reassignment Care Compare group NPD
• Paul L Vitulli, DO

  • Vascular & Interventional Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1932142114
  Medicare reassignment Care Compare group NPD
• Melanie Ridge Weres, AACNP

  • Acute Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1578671798
  Medicare reassignment Care Compare group NPD
• Nicole Marie Neidhart, ARNP, CNM

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1750490819
  Medicare reassignment NPD
• Natalie Mikulas, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1306508080
  Medicare reassignment
• Emma D Denis, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1851512503
  NPD (past)
• Kristine Lynn Ricks, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1295241842
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1013375195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PALM HARBOR BLVD STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831930",
            "telephone_number": "727-474-0090",
            "fax_number": "727-474-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177",
            "telephone_number": "904-518-1398",
            "fax_number": "904-513-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-474-0090"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duval Eye Associates PLLC
• Duval Medical Investors LLC (Life Care Center of Jacksonville)
• Duval Medical, P.a.
• Duval Rehabilitation LLC (Uf Health Rehabilitation Hospital - North)
• Duval Spine & Rehab, LLC
• DVC Hearing Services Inc
• Kristi Lynn Dvorak, CPNP, AC/PC
• Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Jacksonville, Merrill Rd)
• Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Jacksonville, Atlantic Blvd)
• Dwight W. Jones, D.M.D., P.a.

• Medical Specialty Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.