OrganizationActive
Minimally Invasive Vascular, Inc
NPI 1972006351 · Vascular & Interventional Radiology Physician · St Augustine, FL
Provider details
- NPI number
- 1972006351
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kok Chong, Owner(904) 320-0680
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2720 US Highway 1 S Ste C
St Augustine, FL 32086-6301
Phone: (904) 444-0474
Street-level locationGet directions
Mailing address
2720 US Highway 1 S Ste C
St Augustine, FL 32086-6301
Additional practice locations (1)
- 4225 Southpoint Pkwy SJacksonville, FL 32216-0975Phone: (904) 320-0680Fax: (904) 320-0800
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.