OrganizationActive
St Vincents Physician Enterprise Inc
NPI 1477878486 · Clinic/Center · Jacksonville, FL
St Vincents Physician Enterprise Inc is a Clinic/Center organization in Jacksonville, FL (NPI 1477878486).
Provider details
- NPI number
- 1477878486
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St Vincents Primary Care
- Organization subpart
- Yes
- Authorized official
- Gene Miyamoto, System Coo(904) 308-1290
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2627 Riverside Ave
Jacksonville, FL 32204-4712
Phone: (904) 308-7372
Fax: (904) 308-6909
Street-level locationGet directions
Mailing address
2627 Riverside Ave
Jacksonville, FL 32204-4712
Other names (DBA / former)
- Doing business as
- St Vincents Primary Care
Registry dates
- Enumerated
- 2010-04-01
- Last updated
- 2010-09-02
Frequently asked questions
- What is St Vincents Physician Enterprise Inc's NPI number?
- St Vincents Physician Enterprise Inc's National Provider Identifier (NPI) is 1477878486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Vincents Physician Enterprise Inc?
- St Vincents Physician Enterprise Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is St Vincents Physician Enterprise Inc located?
- St Vincents Physician Enterprise Inc's practice location on file with NPPES is 2627 Riverside Ave, Jacksonville, FL 32204-4712.
- What is St Vincents Physician Enterprise Inc's phone number?
- The practice phone number listed in the NPPES registry for St Vincents Physician Enterprise Inc is (904) 308-7372.
- Who is the authorized official for St Vincents Physician Enterprise Inc?
- The authorized official listed on St Vincents Physician Enterprise Inc's NPPES record is Gene Miyamoto, System Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Vincents Physician Enterprise Inc's NPI active?
- Yes — St Vincents Physician Enterprise Inc's NPI (1477878486) is active in the NPPES registry as of the last update on 2010-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.