Organization Active NPI

Cardiohealth LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1679970651
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME81457 Issued in FL
Legal business name
CARDIOHEALTH LLC
Practice address
3599 University Blvd S
Suite 104
Jacksonville, FL 32216-4252
Phone
(904) 315-4438
Fax
(904) 619-5890
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. Ramon Castello, MD
Title
Owner
Phone
(904) 315-4438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME81457 FL Primary

Addresses

Primary practice location

3599 University Blvd S
Suite 104
Jacksonville, FL 32216-4252

Mailing address

3599 University Blvd
Suite 104
Jacksonville, FL 32216
Phone (904) 315-4438

Other identifiers 1

IdentifierTypeStateIssuer
51807YOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1679970651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-315-4438",
            "fax_number": "904-619-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-315-4438",
            "fax_number": "904-619-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "CASTELLO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-315-4438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME81457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "51807Y",
            "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 Nov 21, 2014; 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.