Gloriosa Antiporda, M.d., P.a. | |
8225 Normandy Blvd Jacksonville FL 32221-6650 | |
(904) 378-8520 | |
(904) 378-8570 |
Full Name | Gloriosa Antiporda, M.d., P.a. |
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Speciality | Internal Medicine |
Location | 8225 Normandy Blvd, Jacksonville, Florida |
Authorized Official Name and Position | Gloriosa Reyes Antiporda (PRESIDENT) |
Authorized Official Contact | 9043788520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gloriosa Antiporda, M.d., P.a. Po Box 850001 Orlando FL 32885-0394 Ph: (904) 282-6331 | Gloriosa Antiporda, M.d., P.a. 8225 Normandy Blvd Jacksonville FL 32221-6650 Ph: (904) 378-8520 |
NPI Number | 1467472373 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 09/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467472373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME49981 (Florida) | Secondary |
207R00000X | Internal Medicine | ME47869 (Florida) | Primary |
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