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CARDIOVASCULAR CENTER OF AMERICA
NPI 1063975175
Surgery - Vascular Surgery in Lake City, FL

Active since April 08, 2019
404 NW HALL OF FAME DR, LAKE CITY, FL 32055(856) 335-5025(856) 213-9269 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cardiovascular Center Of America NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDIOVASCULAR CENTER OF AMERICA (NPI 1063975175) is a healthcare organization registered as a vascular surgery in Lake City, Florida and active in the NPI registry since April 2019. The organization lists James O'dare, Principal, as its authorized official.

NPPES Registry Identity

NPI1063975175
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCARDIOVASCULAR CENTER OF AMERICA
Location Address404 NW HALL OF FAME DRLake City, FL 32055-4833
Mailing Address575 N Route 73 Ste A6West Berlin, NJ 08091-2440 · (856) 335-5025
Phone(856) 335-5025
Fax(856) 213-9269
Organization SubpartNo
Authorized OfficialJames O'darePrincipal · (856) 335-5025
Enumeration DateApril 8, 2019
✔ NPI 1063975175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
404 NW HALL OF FAME DR, Lake City, FL 32055
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIANS GROUP SERVICES PA
Pain Medicine (Pain Medicine)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (904) 282-6331
ELAINA WILLIAMSON ARNP
Nurse Practitioner (Family)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (386) 719-2540
MS. PAMELA NICHOLS ROBINSON CRNA
Nurse Anesthetist, Certified Registered
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (386) 487-3930
DUSTIN C MOORE PTA
Physical Therapy Assistant
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (386) 755-3164
MRS. MONICA L CRAIG APRN-C
Nurse Practitioner
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (386) 754-3627
MRS. BRITTANEY PARADISE HOWELL APRN
Nurse Practitioner (Family)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (386) 719-2540
THREE RIVERS ANESTHESIA SERVICE PA
Nurse Anesthetist, Certified Registered
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (904) 824-4990
SCOTT B. SAMERA, DPM, PA, LLC
Podiatrist (Foot & Ankle Surgery)
404 NW HALL OF FAME DR
LAKE CITY, FL 32055
Columbia County (386) 935-1093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cardiovascular Center Of America's NPI number?

The NPI number for Cardiovascular Center Of America is 1063975175. It was assigned to this organization in the NPPES registry on April 8, 2019.

Where is Cardiovascular Center Of America located?

Cardiovascular Center Of America is located at 404 NW Hall Of Fame Dr, Lake City, FL 32055. The listed phone number is (856) 335-5025.

What is Cardiovascular Center Of America's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Cardiovascular Center Of America was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.