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

Park Avenue Heart and Vascular Center LLC

Organization Cardiovascular Disease Physician · NPI 1508818592

Park Avenue Heart and Vascular Center LLC is a Cardiovascular Disease Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1824 King St Ste 250
Jacksonville, FL 32204-4735
Phone: (904) 388-1820
Fax: (904) 388-1827
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1508818592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Crawford — Credentialing Manager · (904) 633-2021
NPI enumeratedMay 17, 2006
Last updated in NPPESAugust 6, 2008
Mailing address562 Park St, Suite 310, Jacksonville, FL 32204-2918

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