OrganizationActive
Cardiovascular Center of America
NPI 1063975175 · Vascular Surgery Physician · Lake City, FL
Provider details
- NPI number
- 1063975175
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James O'Dare, Principal(856) 335-5025
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
404 Nw Hall of Fame Dr
Lake City, FL 32055-4833
Phone: (856) 335-5025
Fax: (856) 213-9269
Street-level locationGet directions
Mailing address
575 N Route 73 Ste A6
West Berlin, NJ 08091-2440
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2019-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.