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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