| Gregory A Gibson M D P A | |
|
301 Health Park Blvd Ste 322 Saint Augustine FL 32086-5771 | |
| (904) 824-3777 | |
| (904) 824-6050 |
| Full Name | Gregory A Gibson M D P A |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 301 Health Park Blvd Ste 322, Saint Augustine, Florida |
| Authorized Official Name and Position | Cindy Gibson (OFFICE MANAGER) |
| Authorized Official Contact | 9048243777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A Gibson M D P A 301 Health Park Blvd Ste 322 Saint Augustine FL 32086-5771 Ph: (904) 824-3777 | Gregory A Gibson M D P A 301 Health Park Blvd Ste 322 Saint Augustine FL 32086-5771 Ph: (904) 824-3777 |
| NPI Number | 1801072756 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801072756 | NPI | - | NPPES |
| 12553 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME0060293 (Florida) | Primary |
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