Organization
PARK AVENUE HEART AND VASCULAR CENTER LLC
Active
Organization
PARK AVENUE HEART AND VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE SUE CRAWFORD (CREDENTIALING MANAGER)
(904) 633-2021
Entity
Organization
Contact information
Practice address
1824 KING ST, SUITE 250, JACKSONVILLE, FL 32204-4735
(904) 388-1820
(904) 388-1827
Mailing address
562 PARK ST, SUITE 310, JACKSONVILLE, FL 32204-2918
(904) 633-2021
(904) 633-9793
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
08/06/2008
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