Jorge L Gamba, MD | |
3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 | |
(904) 399-5550 | |
(904) 346-4334 |
Full Name | Jorge L Gamba |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3599 University Blvd S, 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 |
---|---|---|---|
1700803376 | NPI | - | NPPES |
047684600 | Medicaid | FL | |
14169 | Other | FL | BCBS |
00360115A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME47983 (Florida) | Primary |
Entity Name | Mori Bean And Brooks Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
Entity Name | Georgia Radiology Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831461771 PECOS PAC ID: 5698930774 Enrollment ID: O20170111000386 |
Entity Name | Northside Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
Mailing Address | Practice Location Address |
---|---|
Jorge L Gamba, MD 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 Ph: (904) 399-5550 | Jorge L Gamba, MD 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252 Ph: (904) 399-5550 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 | |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 | |
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209 Phone: 954-775-4645 | |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 | |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 | |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |