# GEOFFREY J. GIBSON DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164869681
- **Authorized official:** DR. GEOFFREY JAMES GIBSON D.O. (OWNER)
- **Authorized official phone:** (727) 430-5433

## Contact information

- **Practice address:** 1501 5TH AVE N, ST PETERSBURG, FL 33705-2008
- **Practice address phone:** (727) 430-5442
- **Mailing address:** 7901 SEMINOLE BLVD, (1205), SEMINOLE, FL 33772-4828
- **Mailing address phone:** (727) 430-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS-0006669 | FL | Yes |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/23/2013