Active NPI
Cardiovascular Associates of Jacksonville PA
- Cardiovascular Disease Physician
- Jacksonville, FL
National Provider Identifier
1487757092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0609919 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Middleburg, FL
- NPI 1982661484
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.