Dr Brian P Gilligan, MD | |
800 Prudential Dr, Jacksonville, FL 32207-8202 | |
(904) 396-5682 | |
(904) 346-0864 |
Full Name | Dr Brian P Gilligan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 800 Prudential Dr, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053337105 | NPI | - | NPPES |
254101700 | Medicaid | FL | |
00789357A | Medicaid | GA | |
43548 | Other | FL | BCBS OF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME75704 (Florida) | Primary |
Entity Name | Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian P Gilligan, MD 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 Ph: (904) 396-5682 | Dr Brian P Gilligan, MD 800 Prudential Dr, Jacksonville, FL 32207-8202 Ph: (904) 396-5682 |
Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508 | |
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921 | |
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548 | |
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912 | |
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600 | |
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188 | |
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994 |