ST JOHNS EXPRESS CARE PA NPI 1477625515

NPI Details

ST JOHNS EXPRESS CARE PA is an emergency medicine in Ponte Vedra Beach, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ST JOHNS EXPRESS CARE PA NPI is 1477625515. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Walk In Medical Care.

The provider's business location address is:

880 A1A NORTH
SUITE 16
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 280-1300
Fax: (904) 280-1220

The provider's authorized official is Gerald Joseph Budd .
The authorized official title is President and has the following contact phone number (904) 280-1300.

The CLIA number assigned to this NPI record is 10D0946827 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: