| Gloriosa Antiporda, M.d.,p.a. | |
|
2040 Riverview St Jacksonville FL 32208-2657 | |
| (904) 713-8074 | |
| (904) 924-8217 |
| Full Name | Gloriosa Antiporda, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2040 Riverview St, Jacksonville, Florida |
| Authorized Official Name and Position | Gloriosa R Antiporda (PRESIDENT) |
| Authorized Official Contact | 9047138074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloriosa Antiporda, M.d.,p.a. Po Box 850001 Orlando FL 32885-0001 Ph: (904) 282-6331 | Gloriosa Antiporda, M.d.,p.a. 2040 Riverview St Jacksonville FL 32208-2657 Ph: (904) 713-8074 |
| NPI Number | 1710125349 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710125349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME49981 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME47869 (Florida) | Primary |
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