# ST. VINCENT'S FIRST CARE-NORMANDY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. VINCENT'S FIRST CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902232820
- **Legal business name:** ST. VINCENT'S FIRST CARE, LLC
- **Authorized official:** MARK REDDINGER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (904) 379-1203

## Contact information

- **Practice address:** 7963 NORMANDY BLVD, NORMANDY SQUARE, STORE 1, JACKSONVILLE, FL 32221-6640
- **Practice address phone:** (904) 786-0440
- **Practice address fax:** (904) 786-0485
- **Mailing address:** PO BOX 551281, JACKSONVILLE, FL 32255-1281
- **Mailing address phone:** (904) 379-1203
- **Mailing address fax:** (904) 379-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/24/2013
