1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Clinic Center
  6. NPI Profile

ST VINCENTS PRIMARY CARE
NPI 1477878486
Clinic/Center in Jacksonville, FL

Active since April 01, 2010
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372(904) 308-6909 Get Directions Write a Review

NPPES record last updated: September 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Vincents Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST VINCENTS PRIMARY CARE (NPI 1477878486) is a healthcare organization registered as a clinic/center in Jacksonville, Florida and active in the NPI registry since April 2010. The organization lists Gene Miyamoto, System Coo, as its authorized official.

NPPES Registry Identity

NPI1477878486
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST VINCENTS PHYSICIAN ENTERPRISE INC
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4712
Mailing Address2627 Riverside AveJacksonville, FL 32204-4712 · (904) 308-7372 · Fax (904) 308-6909
Phone(904) 308-7372
Fax(904) 308-6909
Organization SubpartYesParent: St Vincents Primary Care
Authorized OfficialGene MiyamotoSystem Coo · (904) 308-1290
Enumeration DateApril 1, 2010
Last NPPES UpdateSeptember 2, 2010
✔ NPI 1477878486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2627 RIVERSIDE AVE, Jacksonville, FL 32204
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Vincents Primary Care

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. HANAIN FAZAL DO
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
YVONNE NYAKIO KAMAU MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
DANIEL B TEAHAN PT
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
WYNONA FRANCHESCA DIZON
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
MRS. SONYA JEAN DOMINGUEZ M.D.
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
KRISTEN M. CURTIS PT
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
FARADIA PIERRE MD
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Vincents Physician Enterprise Inc's NPI number?

The NPI number for St Vincents Physician Enterprise Inc is 1477878486. It was assigned to this organization in the NPPES registry on April 1, 2010. The provider is doing business as St Vincents Primary Care.

Where is St Vincents Physician Enterprise Inc located?

St Vincents Physician Enterprise Inc is located at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is St Vincents Physician Enterprise Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for St Vincents Physician Enterprise Inc was last updated on September 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.