Organization
ST VINCENT'S FULL SERVICE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MENDOZA (CHIEF REVENUE CYCLE SPEC.)
(904) 450-6045
Entity
Organization
Contact information
Practice address
7963 NORMANDY BLVD, JACKSONVILLE, FL 32221-6640
(904) 783-2405
(904) 781-6080
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6045
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007294300
—
FL
Enumeration date
07/20/2018
Last updated
07/20/2018
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