Organization
ADVANCED VASCULAR RESOURCES OF JACKSONVILLE, LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up