Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiovascular Institute of Jacksonville P A

Organization Interventional Cardiology Physician · NPI 1104083351

Cardiovascular Institute of Jacksonville P A is an Interventional Cardiology Physician in Wildwood, Missouri. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

1406 Ridgetree Trails Dr
Wildwood, MO 63021-5930
Phone: (904) 998-7747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME86388 (FL)

Record details

NPI number1104083351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Moore — President · (904) 998-7747
Other names Cardiojax
NPI enumeratedMay 16, 2008
Last updated in NPPESDecember 18, 2012
Mailing address1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930