Novocardia Jacksonville Asc LLC
NPI #1356068142 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1356068142
- Entity Type
- Organization
- Organization Name
- Novocardia Jacksonville Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 153 FORT WADES ROAD
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081
- Phone
- (904) 423-0010
Authorized Official
- Name
- DAN BLUMENTHAL, MD
- Title
- OWNER
- Phone
- (617) 694-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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