St Johns Cardiovascular Pa

LBN: St Johns Cardiovascular Pa
St Johns Cardiovascular Pa is an health care organization with primary practice located at 300 Health Park Blvd Ste 1000, St Augustine FL 32086-3707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. St Johns Cardiovascular Pa can be contacted via phone (904) 810-1045, or through Baker, Howard A via phone (904) 810-1045.

Contact Information

Primary practice address
300 Health Park Blvd Ste 1000 St Augustine FL 32086-3707
Phone: (904) 810-1045
Fax: (904) 810-1046
Website:
Map and Directions
Authorized official contact:
Name: Baker, Howard A Doctor of Medicine (MD)
Phone: (904) 810-1045

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME45744 Florida

Profile Details

NPI number 1194926626
LBN Legal business name St Johns Cardiovascular Pa
DBA Doing business as
Authorized official Baker, Howard A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Jan 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194926626 NPPES
Florida MEDICAID 0636515100
Florida Other DG3336

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