Organization
FIRST COAST HEART & VASCULAR CENTER, PA
Active
Other names
First Coast Heart & Vascular Center, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M. BLUMENTHAL MD (OWNER)
(617) 694-1113
Entity
Organization
Contact information
Practice address
3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 32216-4312
(904) 423-0010
(904) 423-0012
Mailing address
PO BOX 47170, JACKSONVILLE, FL 32247-7170
(904) 423-0010
(904) 423-0012
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GX939A
PTAN
FL
Enumeration date
10/22/2012
Last updated
04/25/2022
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