| St Vincent's Full Service Urgent Care, Llc | |
|
10503 San Jose Blvd Jacksonville FL 32257 | |
| (904) 379-1203 | |
| (904) 379-9282 |
| Full Name | St Vincent's Full Service Urgent Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10503 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Andrea Mendoza (CHIEF REV. CYCLE SPECIALIST) |
| Authorized Official Contact | 9044506045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent's Full Service Urgent Care, Llc 4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 Ph: () - | St Vincent's Full Service Urgent Care, Llc 10503 San Jose Blvd Jacksonville FL 32257 Ph: (904) 379-1203 |
| NPI Number | 1750672051 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 07/23/2018 |
| Medicare PECOS PAC ID | 4183879364 |
|---|---|
| Medicare Enrollment ID | O20130220000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750672051 | NPI | - | NPPES |
| Provider Name | Nancy P Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538127808 PECOS PAC ID: 2264407550 Enrollment ID: I20040831000321 |
| Provider Name | Martha Sanchez Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851482681 PECOS PAC ID: 5799740007 Enrollment ID: I20041129000660 |
| Provider Name | Dale Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720024425 PECOS PAC ID: 4385655125 Enrollment ID: I20060509000179 |
| Provider Name | Robert M Chapa |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1588780928 PECOS PAC ID: 7810068178 Enrollment ID: I20080616000103 |
| Provider Name | Farid Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205018843 PECOS PAC ID: 0749355295 Enrollment ID: I20080818000440 |
| Provider Name | W Augenstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013975507 PECOS PAC ID: 1951468677 Enrollment ID: I20090325000370 |
| Provider Name | Andrew Schare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396771119 PECOS PAC ID: 6305903733 Enrollment ID: I20090330000227 |
| Provider Name | William Dietrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952397036 PECOS PAC ID: 6002973443 Enrollment ID: I20090330000313 |
| Provider Name | Bradley Berger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144278011 PECOS PAC ID: 2264568740 Enrollment ID: I20100414000276 |
| Provider Name | Ralph Badanowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205894508 PECOS PAC ID: 3274422696 Enrollment ID: I20100414000558 |
| Provider Name | Philip R Sharp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548204282 PECOS PAC ID: 7517094105 Enrollment ID: I20100430000361 |
| Provider Name | Alex Brown |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700902434 PECOS PAC ID: 0749472900 Enrollment ID: I20101006000265 |
| Provider Name | Paul Lucey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013959709 PECOS PAC ID: 8426246141 Enrollment ID: I20101222000639 |
| Provider Name | Rick Albarran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902188923 PECOS PAC ID: 1951574797 Enrollment ID: I20111024000341 |
| Provider Name | Paul Moir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972600054 PECOS PAC ID: 5092972497 Enrollment ID: I20120213000284 |
| Provider Name | Emily Katherine Begley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508183435 PECOS PAC ID: 7315105749 Enrollment ID: I20120215000029 |
| Provider Name | Mary P Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457633745 PECOS PAC ID: 3476709635 Enrollment ID: I20120803000740 |
| Provider Name | Robert P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437116464 PECOS PAC ID: 8628226156 Enrollment ID: I20120907000146 |
| Provider Name | Cheryl L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356690721 PECOS PAC ID: 0749438968 Enrollment ID: I20121031000650 |
| Provider Name | Lauren W Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564170 PECOS PAC ID: 0941454599 Enrollment ID: I20130206000411 |
| Provider Name | Erica J Humbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265879563 PECOS PAC ID: 8921248311 Enrollment ID: I20130708000591 |
| Provider Name | Sararose E Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316387590 PECOS PAC ID: 8426299033 Enrollment ID: I20130724000629 |
| Provider Name | Ambar M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366649758 PECOS PAC ID: 3779725569 Enrollment ID: I20130807000313 |
| Provider Name | Maria Del Carmen Perez Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902808314 PECOS PAC ID: 3375519226 Enrollment ID: I20131107001355 |
| Provider Name | William Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693358 PECOS PAC ID: 4789810771 Enrollment ID: I20131121001467 |
| Provider Name | Yvonne M Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353143 PECOS PAC ID: 8224260286 Enrollment ID: I20140407001262 |
| Provider Name | Jane Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689806044 PECOS PAC ID: 6406996479 Enrollment ID: I20140417001897 |
| Provider Name | Victoria Udongwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962820738 PECOS PAC ID: 2769606177 Enrollment ID: I20140604002091 |
| Provider Name | Heather Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367618 PECOS PAC ID: 1951601236 Enrollment ID: I20151119000161 |
| Provider Name | David Brian Remias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316258759 PECOS PAC ID: 0143547711 Enrollment ID: I20160122001073 |
| Provider Name | Michael Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184037020 PECOS PAC ID: 9537467329 Enrollment ID: I20160412000272 |
| Provider Name | Arnold V Feliciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018075 PECOS PAC ID: 5890086490 Enrollment ID: I20160628002072 |
| Provider Name | Timothy J Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205850765 PECOS PAC ID: 7810068343 Enrollment ID: I20170526002060 |
| Provider Name | Natalie J Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356877625 PECOS PAC ID: 9537431556 Enrollment ID: I20170824003082 |
| Provider Name | Bradley Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388240 PECOS PAC ID: 7416221353 Enrollment ID: I20170915003027 |
| Provider Name | Edward Orshansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054460 PECOS PAC ID: 8820218548 Enrollment ID: I20171120003394 |
| Provider Name | Sarah Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215461512 PECOS PAC ID: 2668739665 Enrollment ID: I20171129002355 |
| Provider Name | Rosemary T Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392949 PECOS PAC ID: 9234427287 Enrollment ID: I20180718004017 |
| Provider Name | Jaime Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618485 PECOS PAC ID: 2264789312 Enrollment ID: I20180719002378 |
| Provider Name | Troy F Borema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144217308 PECOS PAC ID: 9739328634 Enrollment ID: I20180827003061 |
| Provider Name | Vicki Teal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518457357 PECOS PAC ID: 4284984865 Enrollment ID: I20180830003692 |
| Provider Name | Brittany Lee Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710472519 PECOS PAC ID: 2860743580 Enrollment ID: I20180919002835 |
| Provider Name | Christa W Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124534268 PECOS PAC ID: 6800147406 Enrollment ID: I20180920002006 |
| Provider Name | Ryan Hillman Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245718295 PECOS PAC ID: 2860744638 Enrollment ID: I20181004002501 |
| Provider Name | Harry T Madhanagopal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740568278 PECOS PAC ID: 5890928899 Enrollment ID: I20181019002151 |
| Provider Name | Alexandra Damirkasan Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033761523 PECOS PAC ID: 6709212558 Enrollment ID: I20200214001001 |
| Provider Name | Nichole Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528611563 PECOS PAC ID: 4183052319 Enrollment ID: I20200329000090 |
| Provider Name | Brittany Cabler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366039208 PECOS PAC ID: 8022423227 Enrollment ID: I20210222001433 |
| Provider Name | Catherine Abigail Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851025993 PECOS PAC ID: 1153704655 Enrollment ID: I20220816003000 |
| Provider Name | Angela Michelle Najafi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811627102 PECOS PAC ID: 1456735711 Enrollment ID: I20220906000918 |
| Provider Name | Candice Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700127313 PECOS PAC ID: 1153553656 Enrollment ID: I20220926002795 |
| Provider Name | Shaunna Marie Stetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497477525 PECOS PAC ID: 6406223734 Enrollment ID: I20221031000435 |
| Provider Name | James Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952094856 PECOS PAC ID: 4486015153 Enrollment ID: I20230727001141 |
| Provider Name | Keegan Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750165627 PECOS PAC ID: 6507212602 Enrollment ID: I20231026000058 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 | |
Tdewellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216 Phone: 904-862-2070 Fax: 904-508-0228 |