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Organization
ST. VINCENT'S FIRST CARE-ORTEGA
Active
Organization
ST. VINCENT'S FIRST CARE-ORTEGA
Active
Parent organization
ST. VINCENT'S FIRST CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT'S FIRST CARE, LLC
Authorized official
MR. MARK REDDINGER (CHIEF OPERATING OFFICER)
(904) 379-1203
Entity
Organization
Contact information
Practice address
5501 ROOSEVELT BLVD, JACKSONVILLE, FL 32244-2345
(904) 450-8100
(904) 981-0051
Mailing address
PO BOX 551281, JACKSONVILLE, FL 32255-1281
(904) 450-8100
(904) 981-0051
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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