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Organization
ORANGE PARK HOSPITALISTS LLC
Active
Organization
ORANGE PARK HOSPITALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME M GIBBS (CREDENTIALING COORDINATOR)
(904) 962-4271
Entity
Organization
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 276-2044
(904) 276-2106
Mailing address
1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
01/18/2008
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