Cardiocare of Jacksonville LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOCARE OF JACKSONVILLE LLC

Practice address

2136 Autumn Cove Cir
Fleming Island, FL 32003-3229

Phone

(904) 388-3351

Fax

(904) 388-2138

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lucien Abboud, MD

Title

Owner

Phone

(904) 388-3351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1780168682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 AUTUMN COVE CIR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 AUTUMN COVE CIR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033229",
            "telephone_number": "904-388-3351",
            "fax_number": "904-388-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOCARE OF JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-388-3351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.