Coastal Heart & Vascular Institute PA

NPI #1104251230 in North Port, Florida

Provider Information

NPI Number: 1104251230
Entity Type: Organization
Organization Name: Coastal Heart & Vascular Institute PA
Primary Specialty: Specialist
Enumeration Date: Sep 9, 2013
Last Updated: Dec 4, 2013

Practice Location

Address: 2500 BOBCAT VILLAGE CENTER RD
Address 2: UNIT G
City: North Port
State: Florida
ZIP Code: 34288-8476
Phone: (407) 963-3943

Authorized Official

Name: DR. JESSICA MARITZA JARA, MD
Title: PRESIDENT
Phone: (407) 963-3943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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