Vedre Cardiovascular Care Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

VEDRE CARDIOVASCULAR CARE INC

Practice address

3599 University Blvd S Ste 400
Jacksonville, FL 32216-4232

Phone

(904) 738-0672

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Ameeth Vedre, MD

Title

President/Ceo

Phone

(904) 738-0672

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1457824518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 STE 106",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164232",
            "telephone_number": "904-738-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDRE CARDIOVASCULAR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "VEDRE",
        "authorized_official_first_name": "AMEETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "904-738-0672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008584500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mauricio Vazquez, PA-C
• Rachael Vazquez, APRN
• Rosa Isela Vazquez
• David Lee Veasey Jr., PHARM.D.
• Jennifer Lisa Vedral-Baron, ARNP
• Ameeth Vedre, MD
• Veenakumar
• Benjamin R Veenstra, M.D.
• Bryan Vega Sanabria, MD
• Willie Vega-Galindo, CRNA

• Cardiovascular Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.