Organization
NORTHEAST FLORIDA CARDIOLOGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ H GANDHI MD (OWNER)
(904) 721-0894
Entity
Organization
Contact information
Practice address
2735 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2548
(904) 721-0894
(904) 721-0991
Mailing address
2735 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2548
(904) 721-0894
(904) 721-0991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274905000
—
FL
01
—
99081
BCBS
FL
Enumeration date
07/04/2006
Last updated
02/11/2010
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