ST VINCENT'S FULL SERVICE URGENT CARE, LLC (NPI# 1750672051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750672051 |
| Entity Type | Organization |
| Organization Name | ST VINCENT'S FULL SERVICE URGENT CARE, LLC |
| Practice Address |
10503 San Jose Blvd Jacksonville FL 32257 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 9043791203 |
| Practice Fax Number | 9043799282 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | ANDREA MENDOZA (CHIEF REV. CYCLE SPECIALIST) |
| Authorized Official Telephone | 9044506045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1831676188 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 2001 County Road 210 W Ste 100, Saint Johns, FL 32259-2063 | 2018-07-19 |
| 1932686151 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 5501 Roosevelt Blvd, Jacksonville, FL 32244-2345 | 2018-07-20 |
| 1023595345 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 7963 Normandy Blvd, Jacksonville, FL 32221-6640 | 2018-07-20 |
| 1215414404 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 858 Monument Rd, Ste A, Jacksonville, FL 32225 | 2018-07-20 |
| 1467939660 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 6488 103rd St, Ste A, Jacksonville, FL 32210 | 2018-07-20 |
| 1376020578 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 6699 Gate Parkway, Ste A, Jacksonville, FL 32256 | 2018-07-20 |
| Street Address |
10503 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235187857 | Michael Cordova | Family Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2006-05-05 |
| 1053769463 | Heather Tramel Sharp | Family Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2016-05-25 |
| 1982017471 | Affordable Dentures-jacksonville, P.a. | Dentist | 10503 San Jose Blvd, Suite 10, Jacksonville, FL 32257-6295 | 2014-06-03 |
| 1851739825 | Allen Robertson Todd | Family Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2013-06-11 |
| 1215283536 | Elizabeth Campbell | Social Worker | 10503 San Jose Blvd, Jacksonville, FL 32257 | 2012-07-24 |
| 1881975365 | Satanjeeb Shah | Pharmacist | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2011-08-29 |
| 1467693358 | William Gonzalez | Nurse Practitioner | 10503 San Jose Blvd, Jacksonville, FL 32257 | 2009-03-23 |
| 1508995036 | Affordable Dentures -jacksonville, P.C. | Dentist | 10503 San Jose Blvd, Suite 10, Jacksonville, FL 32257-6295 | 2007-03-02 |
| 1720024425 | Dale Tucker | Emergency Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861852535 | Life Extension Clinics | Clinic/Center | 4130 Salisbury Rd Ste 2400, Jacksonville, FL 32216-8052 | 2016-02-24 |
| 1700396181 | Occupational Health Centers of Southwest P.a. | Clinic/Center | 5995-1 University Blvd. West, Jacksonville, FL 32216 | 2017-10-11 |
| 1396106621 | Access Physical Therapy LLC | Clinic/Center | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244-6668 | 2016-03-15 |
| 1588982292 | Dolores A Loveless | Clinic/Center | 4933-1 University Blvd W, Jacksonville, FL 32216 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197491 | Cano Occupational Medicine, LLC | Clinic/Center | 7911 Nw 72nd Ave Ste 111, Medley, FL 33166-2221 | 2019-07-26 |
| 1285153429 | Dynamic Theraplay | Clinic/Center | 9278 Legare St, Boca Raton, FL 33434-5905 | 2017-09-19 |
| 1114455490 | Zamoyski, LLC | Clinic/Center | 17100 Collins Ave Ste 210, Sunny Isles Beach, FL 33160-3675 | 2017-05-31 |
| 1124564935 | Holy Cross Hospital | Clinic/Center | 10098 Stonehenge Cir Apt 403, Boynton Beach, FL 33437-3542 | 2017-01-18 |
| 1558743021 | Grant William Fisher | Clinic/Center | 2065 Airport Blvd Ste 300, Pensacola, FL 32504-5930 | 2015-06-22 |
| 1952780702 | Y&a Medical Center Corp | Clinic/Center | 3750 W 16th Ave Ste 130u, Hialeah, FL 33012-4683 | 2015-05-27 |
| 1700280559 | Kg Therapy LLC | Clinic/Center | 1015 Spanish River Rd, #304, Boca Raton, FL 33432-7677 | 2014-10-22 |
| 1295137081 | Bcot Assessment & Sevices, Inc | Clinic/Center | 2100 E.hallandale Bch Blvd., Ste. 101a, Hallandale, FL 33009-3722 | 2014-09-23 |
| 1578971388 | Lakeside Occupational Medical Centers Inc | Clinic/Center | 12120 Cortez Blvd, Brooksville, FL 34613-5514 | 2014-07-24 |
| 1164849931 | Community Case Management Services, LLC | Clinic/Center | 815 Nw 57th Ave Ste 400, Miami, FL 33126 | 2014-03-18 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on ST VINCENT'S FULL SERVICE URGENT CARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.