Orange Park Hospitalists LLC
Internal Medicine in Jacksonville, FL. Organization (NPI-2).
NPI number1114106911
StatusActive
Last updated in NPPESJan 18, 2008
Details
- NPI
- 1114106911
- Entity type
- Organization (NPI-2)
- Legal business name
- Orange Park Hospitalists LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2007
- Last updated
- Jan 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1800 Barrs StJacksonville, FL 32204-4704
Phone 904-276-2044 · Fax 904-276-2106
Mailing address
1893 Kingsley AveSuite C
Orange Park, FL 32073-4491
Phone 904-276-2044 · Fax 904-276-2106
Authorized official
Jaime M Gibbs
Credentialing Coordinator
9049624271
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