Organization
ST VINCENTS PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON BERNARD DESTEPHANO MD (PRESIDENT)
(904) 308-7300
Entity
Organization
Contact information
Practice address
1 SHIRCLIFF WAY, DEPT OF PATHOLOGY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
(904) 308-2970
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(855) 671-4753
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
06/12/2024
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