Organization
ST VINCENT'S FULL SERVICE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MENDOZA (CHIEF REV. CYCLE SPECIALIST)
(904) 450-6045
Entity
Organization
Contact information
Practice address
10503 SAN JOSE BLVD, JACKSONVILLE, FL 32257
(904) 379-1203
(904) 379-9282
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
07/23/2018
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