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Organization
ST VINCENTS AMBULATORY CARE INC
Active
Organization
ST VINCENTS AMBULATORY CARE INC
Active
Parent organization
ST VINCENTS AMBULATORY CARE INC
Other names
Ascension St Vincent's Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST VINCENTS AMBULATORY CARE INC
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(904) 450-6004
Entity
Organization
Contact information
Practice address
425 N LEE ST STE 101, JACKSONVILLE, FL 32204-1128
(904) 450-8762
Mailing address
4500 SAILSBURY RD STE 210, JACKSONVILLE, FL 32216
(904) 308-6169
(904) 308-4085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/31/2022
Last updated
10/17/2022
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