| Stephen B. Gill, M.d.,p.a. | |
|
3189 Us Highway 17 S Green Cove Springs FL 32043-9371 | |
| (904) 284-2828 | |
| (904) 284-2810 |
| Full Name | Stephen B. Gill, M.d.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3189 Us Highway 17 S, Green Cove Springs, Florida |
| Authorized Official Name and Position | Stephen Boyd Gill (PRESIDENT) |
| Authorized Official Contact | 9042842828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen B. Gill, M.d.,p.a. 3189 Highway 17 S Green Cove Springs FL 32043-9371 Ph: (904) 284-2828 | Stephen B. Gill, M.d.,p.a. 3189 Us Highway 17 S Green Cove Springs FL 32043-9371 Ph: (904) 284-2828 |
| NPI Number | 1922035500 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922035500 | NPI | - | NPPES |
| 208457 | Other | FL | AVMED |
| 15612 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0037009 (Florida) | Primary |
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