Organization
ST VINCENTS AMBULATORY CARE INC
Active
Other names
Hilliard Medical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E GOODEN (AMG ADMINISTRATION)
(904) 450-8288
Entity
Organization
Contact information
Practice address
551616 US HIGHWAY 1, HILLIARD, FL 32046-8281
(904) 845-3574
(904) 845-7418
Mailing address
551616 US HIGHWAY 1, HILLIARD, FL 32046-8281
(904) 845-3574
(904) 845-7418
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
ARNP1440112
FL
Other
Enumeration date
11/21/2005
Last updated
08/26/2019
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