Organization
ST. VINCENT'S FIRST CARE-NORMANDY
Active
Parent organization
ST. VINCENT'S FIRST CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT'S FIRST CARE, LLC
Authorized official
MARK REDDINGER (CHIEF OPERATING OFFICER)
(904) 379-1203
Entity
Organization
Contact information
Practice address
7963 NORMANDY BLVD, NORMANDY SQUARE, STORE 1, JACKSONVILLE, FL 32221-6640
(904) 786-0440
(904) 786-0485
Mailing address
PO BOX 551281, JACKSONVILLE, FL 32255-1281
(904) 379-1203
(904) 379-9282
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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