Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Vincents Ambulatory Care Inc

Organization Internal Medicine Physician · NPI 1417987124

St Vincents Ambulatory Care Inc is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Shircliff Way Ste 600
Jacksonville, FL 32204-4742
Phone: (904) 308-6769
Fax: (904) 308-4072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Internal Medicine Physician Taxonomy 207R00000X (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X (FL)
Pulmonary Disease Physician Taxonomy 207RP1001X (FL)
Neurological Surgery Physician Taxonomy 207T00000X (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (FL)
Surgery Physician Taxonomy 208600000X (FL)
Vascular Surgery Physician Taxonomy 2086S0129X (FL)

Record details

NPI number1417987124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miranda Hemm — Enrollment Manager · (904) 450-6004
NPI enumeratedJuly 5, 2006
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022
Mailing address4500 Salisbury Rd Ste 210, Jacksonville, FL 32216-0968

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