Organization
ST LUKES - ST VINCENTS HEALTHCARE
Active
Parent organization
ST LUKES - ST VINCENTS HEALTHCARE
Other names
ASCENSION ST. VINCENT'S SOUTHSIDE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES - ST VINCENTS HEALTHCARE
Authorized official
STEPHAN FRANK QUIRICONI (CHIEF FINANCIAL OFFICER)
(904) 308-1258
Entity
Organization
Contact information
Practice address
4201 BELFORT RD, JACKSONVILLE, FL 32216-1431
(904) 450-6020
Mailing address
4205 BELFORT RD STE 4020, JACKSONVILLE, FL 32216-1475
(904) 450-6038
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010373000
—
FL
Enumeration date
02/07/2022
Last updated
02/07/2022
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