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Organization
ST VINCENT'S FULL SERVICE URGENT CARE, LLC
Active
Organization
ST VINCENT'S FULL SERVICE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MENDOZA (CHIEF REV. CYCLE SPECIALIST)
(904) 450-6045
Entity
Organization
Contact information
Practice address
10503 SAN JOSE BLVD, JACKSONVILLE, FL 32257
(904) 379-1203
(904) 379-9282
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/21/2011
Last updated
07/23/2018
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