Organization
CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA
Active
Organization
CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J KANTER MD (PRESIDENT OWNER)
(904) 399-4120
Entity
Organization
Contact information
Practice address
3599 UNIVERSITY BLVD SOUTH, SUITE 913, JACKSONVILLE, FL 32216-4269
(904) 399-4120
(904) 399-5940
Mailing address
3599 UNIVERSITY BLVD SOUTH, SUITE 913, JACKSONVILLE, FL 32216-4269
(904) 399-4120
(904) 399-5940
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609919
—
FL
Enumeration date
09/07/2006
Last updated
09/20/2011
Update your record
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