CARDIOJAX
NPI 1104083351
Internal Medicine - Interventional Cardiology in Wildwood, MO

Q: What is Cardiovascular Institute Of Jacksonville P A's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since May 16, 2008

1406 RIDGETREE TRAILS DR, WILDWOOD, MO 63021(904) 998-7747 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cardiojax NPPES

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

CARDIOJAX (NPI 1104083351) is a healthcare organization registered as an interventional cardiology in Wildwood, Missouri and active in the NPI registry since May 2008. The organization lists Joseph Andrew Moore, President, as its authorized official.

NPPES Registry Identity

NPI1104083351

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameCARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A

Location Address1406 RIDGETREE TRAILS DRWildwood, MO 63021-5930

Mailing Address1406 Ridgetree Trails DrWildwood, MO 63021-5930

Phone(904) 998-7747

Organization SubpartNo

Authorized OfficialJoseph Andrew MoorePresident · (904) 998-7747

Enumeration DateMay 16, 2008

Last NPPES UpdateDecember 18, 2012

✔ NPI 1104083351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in FL · ME86388

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

1406 RIDGETREE TRAILS DR, Wildwood, MO 63021

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Other Names 1

Doing Business AsCardiojax

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Institute Of Jacksonville P A's NPI number?

The NPI number for Cardiovascular Institute Of Jacksonville P A is 1104083351. It was assigned to this organization in the NPPES registry on May 16, 2008. The provider is doing business as Cardiojax.

Where is Cardiovascular Institute Of Jacksonville P A located?

Cardiovascular Institute Of Jacksonville P A is located at 1406 Ridgetree Trails Dr, Wildwood, MO 63021. The listed phone number is (904) 998-7747.

What is Cardiovascular Institute Of Jacksonville P A's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Cardiovascular Institute Of Jacksonville P A was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.