Advanced Vascular Resources of Jacksonville, LLC
NPI 1114332962ActiveOrganization· Internal Medicine, Interventional Cardiology· Jacksonville, FL
Internal Medicine, Interventional Cardiology in Jacksonville, Florida, registered in NPPES in June 2014. The authorized official on file is Barbara Odare, Chief Executive Officer.
Overview
| NPI | 1114332962 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2014 |
| Last updated in NPPES | Sep 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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