OrganizationActive
St Vincents Pathology Associates PA
NPI 1114074200 · Anatomic Pathology & Clinical Pathology Physician · Jacksonville, FL
Provider details
- NPI number
- 1114074200
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Don Destephano, President(904) 308-7300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Shircliff Way
Dept of Pathology
Jacksonville, FL 32204-4748
Phone: (904) 308-7300
Fax: (904) 308-2970
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 144333
Orlando, FL 32814-4333
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.