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Organization
ST VINCENTS PATHOLOGY ASSOCIATES PA
Active
Organization
ST VINCENTS PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON BERNARD DESTEPHANO MD (PRESIDENT)
(904) 308-7300
Entity
Organization
Contact information
Practice address
1 SHIRCLIFF WAY, DEPT OF PATHOLOGY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
(904) 308-2970
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(855) 671-4753
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
06/12/2024
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