# ST. VINCENTS URGENT CARE LLC

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

## Provider details

- **NPI number:** 1861057036
- **Authorized official:** LLATOYA GAYLE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (475) 210-5346

## Contact information

- **Practice address:** 401 MONROE TPKE, MONROE, CT 06468-2276
- **Practice address phone:** (203) 268-2501
- **Mailing address:** 2720 MAIN ST, BRIDGEPORT, CT 06606-5363
- **Mailing address phone:** (475) 210-5346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 05/03/2019