OrganizationActive
Comprehensive Vascular Diagnostics
NPI 1053547083 · Contractor · Orange Park, FL
Provider details
- NPI number
- 1053547083
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Bryan Jacobs, Director(904) 541-0207
Specialties & taxonomies
Other Service Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1892 Bellair Blvd
Orange Park, FL 32073-4548
Phone: (904) 541-0207
Fax: (904) 264-2067
Street-level locationGet directions
Mailing address
1892 Bellair Blvd
Orange Park, FL 32073-4548
Registry dates
- Enumerated
- 2009-06-04
- Last updated
- 2009-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.