St Vincents Primary Care | |
2627 Riverside Ave Jacksonville FL 32204-4712 | |
(904) 308-7372 | |
(904) 308-6909 |
Full Name | St Vincents Primary Care |
---|---|
Speciality | Clinic/Center |
Location | 2627 Riverside Ave, Jacksonville, Florida |
Authorized Official Name and Position | Gene Miyamoto (SYSTEM COO) |
Authorized Official Contact | 9043081290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
St Vincents Primary Care 2627 Riverside Ave Jacksonville FL 32204-4712 Ph: (904) 308-7372 | St Vincents Primary Care 2627 Riverside Ave Jacksonville FL 32204-4712 Ph: (904) 308-7372 |
NPI Number | 1477878486 |
---|---|
Provider Enumeration Date | 04/01/2010 |
Last Update Date | 09/02/2010 |
Medicare PECOS PAC ID | 2668664962 |
---|---|
Medicare Enrollment ID | O20101005000809 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477878486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Tonya N Hollinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053366906 PECOS PAC ID: 7517870892 Enrollment ID: I20031112000199 |
Provider Name | Leslie B Beadling |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548247182 PECOS PAC ID: 6002892445 Enrollment ID: I20040626000436 |
Provider Name | Jairo A De La Hoz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972528545 PECOS PAC ID: 7911967971 Enrollment ID: I20050706001117 |
Provider Name | Willie A Pennick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568426302 PECOS PAC ID: 2365471711 Enrollment ID: I20050806000017 |
Provider Name | Markus K Sonntag |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942216031 PECOS PAC ID: 6103802822 Enrollment ID: I20050823000409 |
Provider Name | Arthur Schueler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114991833 PECOS PAC ID: 4183656937 Enrollment ID: I20050901000383 |
Provider Name | Richard J Flynn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053322289 PECOS PAC ID: 9234143876 Enrollment ID: I20060202000536 |
Provider Name | Vickie A Prince |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528081510 PECOS PAC ID: 2466550751 Enrollment ID: I20070611000329 |
Provider Name | Mark A Zoller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558399469 PECOS PAC ID: 5193823359 Enrollment ID: I20070612000214 |
Provider Name | Zwinda S Ortiz-roldan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609838127 PECOS PAC ID: 7517065709 Enrollment ID: I20070612000571 |
Provider Name | Ulises M Caraballo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962464461 PECOS PAC ID: 5597731505 Enrollment ID: I20070719000104 |
Provider Name | Gerald Giurato |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205837028 PECOS PAC ID: 3870694953 Enrollment ID: I20070719000142 |
Provider Name | Michael V Sharpe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750382669 PECOS PAC ID: 7214846526 Enrollment ID: I20070719000176 |
Provider Name | Barbara Cruikshank |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053463075 PECOS PAC ID: 6406957547 Enrollment ID: I20070719000547 |
Provider Name | George E Platt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700881158 PECOS PAC ID: 3971604018 Enrollment ID: I20070719000601 |
Provider Name | Willa J Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427198530 PECOS PAC ID: 2365543998 Enrollment ID: I20070725000733 |
Provider Name | Marilyn Margarita Rodriguez Ballard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902970007 PECOS PAC ID: 8527151224 Enrollment ID: I20070911000985 |
Provider Name | William I Schwartz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659479764 PECOS PAC ID: 2264328525 Enrollment ID: I20080731000554 |
Provider Name | Paula Salas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558528026 PECOS PAC ID: 0143377333 Enrollment ID: I20090403000305 |
Provider Name | Mark Anthony Stawara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033168539 PECOS PAC ID: 5698807147 Enrollment ID: I20100719000443 |
Provider Name | Gina M Mele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467772780 PECOS PAC ID: 6406970557 Enrollment ID: I20100826000791 |
Provider Name | Heber J Rosa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952306607 PECOS PAC ID: 8123210309 Enrollment ID: I20101006000521 |
Provider Name | Jonathan M Divine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710173968 PECOS PAC ID: 9133311368 Enrollment ID: I20101006001053 |
Provider Name | Barbara A Austin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396041547 PECOS PAC ID: 4880879725 Enrollment ID: I20110419000869 |
Provider Name | Prema L Ramsahai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578727905 PECOS PAC ID: 4880865807 Enrollment ID: I20110923000429 |
Provider Name | Allison H Mabus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578727970 PECOS PAC ID: 9234300120 Enrollment ID: I20110926000733 |
Provider Name | Jennifer L Stone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003010307 PECOS PAC ID: 6305993254 Enrollment ID: I20120430000259 |
Provider Name | Joanna H Schneider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174804017 PECOS PAC ID: 1355507278 Enrollment ID: I20120723000159 |
Provider Name | Matthew T Braddock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417180886 PECOS PAC ID: 8224284922 Enrollment ID: I20120813000457 |
Provider Name | Debora C Gay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932134673 PECOS PAC ID: 9436394186 Enrollment ID: I20130328000363 |
Provider Name | Manoj M Pulicottil |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306877972 PECOS PAC ID: 7416995055 Enrollment ID: I20130813000923 |
Provider Name | Quincy A Scarborough |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003137852 PECOS PAC ID: 0345482774 Enrollment ID: I20130814000017 |
Provider Name | Lindsey E Ray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861824815 PECOS PAC ID: 8426286626 Enrollment ID: I20140115001391 |
Provider Name | Kathryn H Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528484318 PECOS PAC ID: 3173756640 Enrollment ID: I20140507002144 |
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 | |
Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Philips Hwy, Jacksonville, FL 32207 Phone: 407-447-7120 | |
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 |