Organization
SOUTHERN HEART GROUP
Active
Other names
DIAGNOSTIC CARDIOLOGY ASSOC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S PILCHER MD (MANAGING PARTNER)
(904) 388-1820
Entity
Organization
Contact information
Practice address
1824 KING ST, SUITE 300, 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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8079
RAILROAD MEDICARE
FL
01
—
CI0090
RAILROAD MEDICARE
FL
01
—
GRP3918
GEORGIA MEDICARE
GA
Enumeration date
11/14/2005
Last updated
10/22/2007
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