NPIMap

Organization Active NPI

Cardiohealth

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1104218973
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ARNP9294077 Issued in FL
Legal business name
CARDIOHEALTH
Practice address
3599 University Blvd S Ste 104
Jacksonville, FL 32216-4200
Phone
(904) 724-5000
Fax
(904) 677-4498
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Ramon Castello, M.D.NPI 1811984073
Title
Founder/Physician
Phone
(904) 724-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ARNP9294077 FL Primary

Addresses

Primary practice location

3599 University Blvd S Ste 104
Jacksonville, FL 32216-4200

Mailing address

3599 University Blvd S Ste 104
Jacksonville, FL 32216-4200
Phone (904) 724-5000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1104218973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164200",
            "telephone_number": "904-724-5000",
            "fax_number": "904-677-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164200",
            "telephone_number": "904-724-5000",
            "fax_number": "904-677-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "CASTELLO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "FOUNDER/PHYSICIAN",
        "authorized_official_telephone_number": "904-724-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ARNP9294077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.