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PARK AVENUE HEART AND VASCULAR CENTER LLC
NPI 1508818592
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Active since May 17, 2006
1824 KING ST, SUITE 250, JACKSONVILLE, FL 32204(904) 388-1820(904) 388-1827 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Heart And Vascular Center Llc NPPES

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

PARK AVENUE HEART AND VASCULAR CENTER LLC (NPI 1508818592) is a healthcare organization registered as a cardiovascular disease in Jacksonville, Florida and active in the NPI registry since May 2006. The organization lists Connie Sue Crawford, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1508818592
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePARK AVENUE HEART AND VASCULAR CENTER LLC
Location Address1824 KING ST, SUITE 250Jacksonville, FL 32204-4735
Mailing Address562 Park St, Suite 310Jacksonville, FL 32204-2918 · (904) 633-2021 · Fax (904) 633-9793
Phone(904) 388-1820
Fax(904) 388-1827
Organization SubpartNo
Authorized OfficialConnie Sue CrawfordCredentialing Manager · (904) 633-2021
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 6, 2008
✔ NPI 1508818592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1824 KING ST, Jacksonville, FL 32204
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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

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.

DR. MARK A MOSTOVYCH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1824 KING ST, STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-3343
MR. MICHAEL RUCKER II PA-C
Physician Assistant (Surgical)
1824 KING ST, STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-3343
JACK J MESSINA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1824 KING ST, STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-3343
MARY BLADE ARNP
Nurse Practitioner
1824 KING ST, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 388-1820
CARLTON R MCCARTHY
Physician Assistant (Surgical)
1824 KING ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 421-5586
MRS. LORI LEIGH MAGYAR ARNP
Nurse Practitioner (Adult Health)
1824 KING ST, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 388-1820
CAROLYN MASCHO ARNP
Nurse Practitioner
1824 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 388-1820
MS. FAITH TOGBEH SNYDER ARNP
Nurse Practitioner (Adult Health)
1824 KING ST, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 388-1820

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 Park Avenue Heart And Vascular Center LLC's NPI number?

The NPI number for Park Avenue Heart And Vascular Center LLC is 1508818592. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Park Avenue Heart And Vascular Center LLC located?

Park Avenue Heart And Vascular Center LLC is located at 1824 King St Suite 250, Jacksonville, FL 32204. The listed phone number is (904) 388-1820.

What is Park Avenue Heart And Vascular Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Park Avenue Heart And Vascular Center LLC was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.