| Gibson Medical Pa | |
|
307 Alcazar St St Augustine FL 32080-3708 | |
| (904) 495-5269 | |
| Not Available |
| Full Name | Gibson Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 307 Alcazar St, St Augustine, Florida |
| Authorized Official Name and Position | Gregory Gibson (PRESIDENT) |
| Authorized Official Contact | 9044955269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Medical Pa Po Box 3123 St Augustine FL 32085-3123 Ph: () - | Gibson Medical Pa 307 Alcazar St St Augustine FL 32080-3708 Ph: (904) 495-5269 |
| NPI Number | 1124625801 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124625801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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