Comprehensive Vascular Diagnostics

Contractor · Orange Park, FL

Organization Active NPI

NPI number 1053547083

Practice location

1892 Bellair Blvd
Orange Park, FL 32073-4548
Phone
(904) 541-0207
Fax
(904) 264-2067

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NPI record

NPI
1053547083
Entity type
Organization (Type 2)
Enumeration date
June 4, 2009
Last updated
June 4, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —
Customized Equipment (DME) 332BC3200X — —

Authorized official

Name
Mr. Bryan K Jacobs
Title
Director
Phone
(904) 541-0207

About Comprehensive Vascular Diagnostics

Comprehensive Vascular Diagnostics is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1892 Bellair Blvd, Orange Park, FL 32073-4548. The NPI number 1053547083 was assigned on June 4, 2009 and the record was last updated on June 4, 2009.

The authorized official for this organization is Mr. Bryan K Jacobs, Director.

Frequently asked questions

What is the NPI number of Comprehensive Vascular Diagnostics?

The NPI number is 1053547083.

What is the phone number of Comprehensive Vascular Diagnostics?

The phone number listed for the practice location is (904) 541-0207.

Where is Comprehensive Vascular Diagnostics located?

1892 Bellair Blvd, Orange Park, FL 32073-4548.

What is the taxonomy code for Comprehensive Vascular Diagnostics?

The primary taxonomy code is 171W00000X – Contractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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