Cardiovascular Institute of Jacksonville P A
Cardiovascular Institute of Jacksonville P A provides Interventional Cardiology Physician services in Wildwood, Missouri. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
Practice location Address checks out
1406 Ridgetree Trails DrWildwood, MO 63021-5930 Not confirmed with CMS for 13 years — call before visiting
Phone: (904) 998-7747
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Cardiology Physician (primary) | Taxonomy 207RI0011X · Licence ME86388 (FL) |
|---|
Record details
| NPI number | 1104083351 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Moore — President · (904) 998-7747 |
| Other names | Cardiojax |
| NPI enumerated | May 16, 2008 |
| Last updated in NPPES | December 18, 2012 |
| Mailing address | 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930 |