Atlantic Heart and Vascular Specialists, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME114219 Issued in FL

Legal business name

ATLANTIC HEART AND VASCULAR SPECIALISTS, INC

Doing business as

Cardex Clinic

Practice address

11512 Lake Mead Ave
Ste 303
Jacksonville, FL 32256-9680

Phone

(904) 296-9933

Fax

(904) 930-4175

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Khawar M Shaikh, M.D.

Title

President

Phone

(904) 296-9933

Specialties & licenses 1

Addresses

Other names 1

• Cardex Clinic Doing business as

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1992191910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551107",
            "telephone_number": "904-296-9933",
            "fax_number": "904-930-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "address_2": "STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-296-9933",
            "fax_number": "904-930-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEART AND VASCULAR SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "KHAWAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-296-9933",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME114219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardex Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.