MEDICARE: DRS CHOICE VASCULAR ACCESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1255296893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS CHOICE VASCULAR ACCESS

Provider Business Mailing Address
First Line	:	4501 IRVINGTON AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-2014
Country	:	US
Telephone Number	:	904-800-2375
Fax Number	:	904-892-8181

Provider Business Practice Location Address
First Line	:	4501 IRVINGTON AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-2014
Country	:	US
Telephone Number	:	904-800-2375
Fax Number	:	904-892-8181

Authorized Official
Title or Position	:	MEMBER
Name	:	JOSEPH I CONNELL
Credential	:
Telephone Number	:	904-800-2375

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	03/12/2026

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Directions to “DRS CHOICE VASCULAR ACCESS ” Practice Location

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