Organization
ST VINCENTS AMBULATORY CARE INC
Active
Organization
ST VINCENTS AMBULATORY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(904) 450-6004
Entity
Organization
Contact information
Practice address
2 SHIRCLIFF WAY, SUITE 600, JACKSONVILLE, FL 32204-4742
(904) 308-6769
(904) 308-4072
Mailing address
4500 SALISBURY RD STE 210, JACKSONVILLE, FL 32216-0968
(904) 308-7959
(904) 308-7938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
FL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
FL
207RP1001X
Pulmonary Disease Physician
—
FL
207T00000X
Neurological Surgery Physician
—
FL
207T00000X
Neurological Surgery Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
FL
208600000X
Surgery Physician
—
FL
2086S0129X
Vascular Surgery Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276587000
—
FL
Enumeration date
07/05/2006
Last updated
10/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up