Cecilia House (NPI# 1891108171, PAC ID# 9739309089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891108171 |
| PAC ID by PECOS | 9739309089 |
| Professional Enrollment ID | I20171107000578 |
| Full Name | Cecilia House |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
12311 San Jose Blvd Jacksonville FL 32223-2673 |
| Phone Number | 9042627211 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 12311 San Jose Blvd, Jacksonville, FL 32223-2673 | 9042627211 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Tanielle Lamonika Brew | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Street Address |
12311 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32223-2673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Samuel Walter Palmer | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Katherine A Welch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Watts | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Brett D O'connor | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Steve M Pullen | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Nikkita L Wilkes | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Todd J Rasner | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Mitzi C Brock | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Sirlys Arcon Rios | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Natasha Guerra Farrow | Nurse Practitioner | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Lananh Ly | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Melissa A Morgan | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Find all physicians in zip 32223 | |||
| City | JACKSONVILLE |
| Zip Code | 32223 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.