| St Vincents Ambulatory Care Inc | |
|
551616 Us Highway 1 Hilliard FL 32046-8281 | |
| (904) 845-3574 | |
| (904) 845-7418 |
| Full Name | St Vincents Ambulatory Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 551616 Us Highway 1, Hilliard, Florida |
| Authorized Official Name and Position | Linda E Gooden (AMG ADMINISTRATION) |
| Authorized Official Contact | 9044508288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincents Ambulatory Care Inc 551616 Us Highway 1 Hilliard FL 32046-8281 Ph: (904) 845-3574 | St Vincents Ambulatory Care Inc 551616 Us Highway 1 Hilliard FL 32046-8281 Ph: (904) 845-3574 |
| NPI Number | 1558344978 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 2860411188 |
|---|---|
| Medicare Enrollment ID | O20181212003350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558344978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP1440112 (Florida) | Secondary |
Hilliard Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3772 W 3rd St, Hilliard, FL 32046 Phone: 904-845-7419 | |
Dr. Michael V. Sharpe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3772 W 3rd St, Hilliard, FL 32046 Phone: 904-783-9428 Fax: 904-786-4981 |