Active NPI
Heart Clinic of Jacksonville, LLC
- Cardiovascular Disease Physician
- Jacksonville, FL
National Provider Identifier
1154408656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME73289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryNPI 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.