CARDIOVASCULAR INSTITUTE OF JACKSONVILLE P A
Osteopathic Medicine at Ridgetree Trails Dr, Wildwood, MO

License number
Missouri ME86388
Category
Osteopathic Medicine
Type
Interventional Cardiology
Owner
Name: DR. JOSEPH ANDREW MOORE MD
Title: PRESIDENT
Phone: (904) 998-7747
Address
Address
1406 Ridgetree Trails Dr, Wildwood, MO 63021
National Provider ID: 1104083351
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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The Cardiovascular Institute of Jacksonville P A

Wildwood, MO  -  Jacksonville, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Doing business as:
The Cardiovascular Institute of Jacksonville, PA
Registration:
Jun 6, 2005
Addresses:
1406 Ridgetree Trl Dr, Wildwood, MO 63021
3627 University Blvd S, Jacksonville, FL 32216
13845 Fiddlers Pt Dr, Jacksonville, FL 32225
State ID:
P05000081567
Business type:
Domestic for Profit Corporation
Principal, President:
Joseph A. Moore Principal, President, inactive

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