Organization Active NPI

Cardiovascular Associates of Jacksonville PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1487757092
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA
Practice address
3599 University Blvd South
Suite 913
Jacksonville, FL 32216-4269
Phone
(904) 399-4120
Fax
(904) 399-5940
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Lawrence J Kanter, MD
Title
President Owner
Phone
(904) 399-4120

Specialties & licenses 1

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

Addresses

Primary practice location

3599 University Blvd South
Suite 913
Jacksonville, FL 32216-4269

Mailing address

3599 University Blvd South
Suite 913
Jacksonville, FL 32216-4269
Phone (904) 399-4120

Other identifiers 1

IdentifierTypeStateIssuer
0609919MedicaidFL

National Provider Directory

National Provider Directory

Locations

3599 University Blvd S
Ste 913
Jacksonville, FL 32216
Phone (904) 399-4120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1487757092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD SOUTH",
            "address_2": "SUITE 913",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164269",
            "telephone_number": "904-399-4120",
            "fax_number": "904-399-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD SOUTH",
            "address_2": "SUITE 913",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164269",
            "telephone_number": "904-399-4120",
            "fax_number": "904-399-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "904-399-4120",
        "authorized_official_name_prefix": "Dr.",
        "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": "0609919",
            "state": "FL"
        }
    ],
    "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 Sep 20, 2011; 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.