Organization · Type 2 NPI

St. Vincent's Medical Center - Clay County, Inc

Cardiovascular Disease Physician · Middleburg, FL

NPI number 1154729549 Active

Practice location

1658 St Vincents Way, Suite 300
Middleburg, FL 32068-8446

Fax (904) 276-5393

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	ME49977 (FL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

7 other providers at this address

NPI record

NPI: 1154729549
Entity type: Organization (Type 2)
Issued: Dec 17, 2014
Last updated: Dec 17, 2014
Status: Active
Subpart: Yes of St. Vincent's Medical Center - Clay County, Inc.

Other names

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St. Vincent's Clay County - Cardiology · doing business as

Authorized official

Mr. D. Blaine Claypool
President
(904) 602-1151

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154729549

St. Vincent's Medical Center - Clay County, Inc's National Provider Identifier is 1154729549, issued on Dec 17, 2014. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Middleburg, FL. The record was last updated on Dec 17, 2014.