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Organization
ST. JOHNS VEIN CENTER, INC.
Active
Organization
ST. JOHNS VEIN CENTER, INC.
Active
Other names
Ancient City Vein & Vascular, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ST. GEORGE M.D. (CEO)
(904) 402-8346
Entity
Organization
Contact information
Practice address
8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-5479
(904) 402-8346
(904) 402-8347
Mailing address
8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-5479
(904) 402-8346
(904) 402-8347
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
ME88184
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
09/09/2020
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