Comprehensive Vascular Diagnostics

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

COMPREHENSIVE VASCULAR DIAGNOSTICS

Practice address

1892 Bellair Blvd
Orange Park, FL 32073-4548

Phone

(904) 541-0207

Fax

(904) 264-2067

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By 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

Mr. Bryan K Jacobs

Title

Director

Phone

(904) 541-0207

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1053547083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 BELLAIR BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734548",
            "telephone_number": "904-541-0207",
            "fax_number": "904-264-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 BELLAIR BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734548",
            "telephone_number": "904-541-0207",
            "fax_number": "904-264-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE VASCULAR DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-541-0207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfortable Care Dental Health Professionals, PA (The Dentist Place - Orange Park)
• Comfortable Care Dental Health Professionals. P.a. (Dental Care at Eagle Landing)
• Community Mental Health Services Center
• Compmed Care LLC
• Comprehensive Medical Care Center, PLLC
• Stephanie Concepcion, M.D.
• Concierge Care of NE Florida, LLC (Concierge Care)
• Concierge Care of Orange Park, LLC (Concierge Care)
• Renell Coney
• Saejin L Confusione, PA-C

• Contractor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.