Healthcare Provider Details

I. General information

NPI: 1447635834
Provider Name (Legal Business Name): ASHCHI HEART & VASCULAR CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 UNIVERSITY BLVD S SUITE A
JACKSONVILLE FL
32216-4331
US

IV. Provider business mailing address

3900 UNIVERSITY BLVD S SUITE A
JACKSONVILLE FL
32216-4331
US

V. Phone/Fax

Practice location:
  • Phone: 904-222-6656
  • Fax: 904-222-6657
Mailing address:
  • Phone: 904-222-6656
  • Fax: 904-222-6657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAJDI ASHCHI
Title or Position: CARDIOLOGIST
Credential: DO
Phone: 904-400-3988