Active NPI
Coastal Vein & Vascular Institute, LLC
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- COASTAL VEIN & VASCULAR INSTITUTE, LLC
- Practice address
- 7741 Point Meadows Dr
Unit 104-106
Jacksonville, FL 32256-9182 - Phone
- (904) 399-5550
- Fax
- (904) 346-4334
- NPI assigned
- May 13, 2015
- Last updated
- Feb 16, 2016
- Organization subpart
- Yes
- Parent organization
- DRS. MORI, BEAN & BROOKS, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt W Mori, MD
- Title
- President
- Phone
- (904) 399-5550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | Primary |
Addresses
Primary practice location
7741 Point Meadows Dr
Unit 104-106
Jacksonville, FL 32256-9182
Mailing address
3599 University Blvd S
BLDG 300
Jacksonville, FL 32216-4252
Phone (904) 399-5550
National Provider Directory
National Provider Directory- Part of
- Mori Bean and Brooks Inc
Locations
7741 Point Meadows Dr
Unit 104106
Jacksonville, FL 32256
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.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1821058157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455580800000",
"number": "1689052359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"address_2": "BLDG 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-399-5550",
"fax_number": "904-346-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7741 POINT MEADOWS DR",
"address_2": "UNIT 104-106",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569182",
"telephone_number": "904-399-5550",
"fax_number": "904-346-4334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL VEIN & VASCULAR INSTITUTE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DRS. MORI, BEAN & BROOKS, PA",
"enumeration_date": "2015-05-13",
"last_updated": "2016-02-16",
"status": "A",
"authorized_official_last_name": "MORI",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-399-5550",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"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 Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.