Organization Active NPI

Heart Clinic of Jacksonville, LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1154408656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME73289 Issued in FL
Legal business name
HEART CLINIC OF JACKSONVILLE, LLC
Practice address
9551 Baymeadows Rd Ste 6
Jacksonville, FL 32256-7938
Phone
(904) 636-5400
Fax
(904) 281-9806
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Syed J Umer, MD
Title
President
Phone
(904) 636-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME73289 FL Primary

Addresses

Primary practice location

9551 Baymeadows Rd Ste 6
Jacksonville, FL 32256-7938

Mailing address

9551 Baymeadows Rd Ste 6
Jacksonville, FL 32256-7938
Phone (904) 636-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154408656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 BAYMEADOWS RD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567938",
            "telephone_number": "904-636-5400",
            "fax_number": "904-281-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 BAYMEADOWS RD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567938",
            "telephone_number": "904-636-5400",
            "fax_number": "904-281-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CLINIC OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UMER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-636-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME73289",
            "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 Aug 22, 2020; 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.