Active NPI
Dat Vu
- Anesthesiologist Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA447
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 399-6111
- NPI assigned
- Sep 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 8171 | GA | |
| Anesthesiologist Assistant | 367H00000X | |||
| Anesthesiologist Assistant | 367H00000X | AA447 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
3518 Brandywine Rd NW
Kennesaw, GA 30144-6060
Phone (404) 406-3730
Other practice location 1
3518 Brandywine Rd NW
Kennesaw, GA 30144-6060
Phone (404) 406-3730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8171 | Other | GA | STATE OF GEORGIA MEDICAL BOARD |
| AA447 | Other | FL | STATE OF FL DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA447 | FL | MD | Anesthesiologist Assistant |
| 8171 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of South Florida, LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Anesthesiologist Assistant | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1982151353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3518 BRANDYWINE RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446060",
"telephone_number": "404-406-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-399-6111"
}
],
"practiceLocations": [
{
"address_1": "3518 Brandywine Rd NW",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301446060",
"country_code": "US",
"telephone_number": "404-406-3730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VU",
"first_name": "DAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-02",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "8171",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA MEDICAL BOARD",
"identifier": "8171",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FL DEPARTMENT OF HEALTH",
"identifier": "AA447",
"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 Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.