Organization
ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC
Active
Other names
AVR of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ODARE (CHIEF EXECUTIVE OFFICER)
(301) 434-0050
Entity
Organization
Contact information
Practice address
4253 SALISBURY RD, JACKSONVILLE, FL 32216-6121
(904) 416-1540
(904) 425-2137
Mailing address
1700 ELTON RD, SUITE 201, SILVER SPRING, MD 20903-1752
(904) 416-1540
(904) 425-2137
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205279122
NPI
NJ
Enumeration date
06/30/2014
Last updated
09/04/2014
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