Cardiovascular Institute of Jacksonville P a
NPI 1104083351 · Interventional Cardiology Physician · Wildwood, MO
Cardiovascular Institute of Jacksonville P a is a Interventional Cardiology Physician organization in Wildwood, MO (NPI 1104083351).
Provider details
- NPI number
- 1104083351
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Moore, President(904) 998-7747
- License
- ME86388 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Cardiojax
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2012-12-18
Frequently asked questions
- What is Cardiovascular Institute of Jacksonville P a's NPI number?
- Cardiovascular Institute of Jacksonville P a's National Provider Identifier (NPI) is 1104083351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cardiovascular Institute of Jacksonville P a?
- Cardiovascular Institute of Jacksonville P a is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Cardiovascular Institute of Jacksonville P a located?
- Cardiovascular Institute of Jacksonville P a's practice location on file with NPPES is 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930.
- What is Cardiovascular Institute of Jacksonville P a's phone number?
- The practice phone number listed in the NPPES registry for Cardiovascular Institute of Jacksonville P a is (904) 998-7747.
- Who is the authorized official for Cardiovascular Institute of Jacksonville P a?
- The authorized official listed on Cardiovascular Institute of Jacksonville P a's NPPES record is Joseph Moore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cardiovascular Institute of Jacksonville P a's NPI active?
- Yes — Cardiovascular Institute of Jacksonville P a's NPI (1104083351) is active in the NPPES registry as of the last update on 2012-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.