# ST VINCENT'S FULL SERVICE URGENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831676188
- **Authorized official:** ANDREA MENDOZA (CHIEF REVENUE CYCLE SPECIALISTS)
- **Authorized official phone:** (904) 450-6045

## Contact information

- **Practice address:** 2001 COUNTY ROAD 210 W STE 100, SAINT JOHNS, FL 32259-2063
- **Practice address phone:** (904) 450-8400
- **Practice address fax:** (904) 230-1066
- **Mailing address:** 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2018
- **Last updated:** 07/19/2018