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Organization
LONDON OBSTETRIC AND GYNECOLOGIC SERVICES, PA
Active
Organization
LONDON OBSTETRIC AND GYNECOLOGIC SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY MINOLTA LONDON M.D. (PRESIDENT)
(904) 880-1400
Entity
Organization
Contact information
Practice address
4114 SUNBEAM RD, BUILDING 100, SUITE 102, JACKSONVILLE, FL 32257-8847
(904) 880-1400
(904) 886-4433
Mailing address
4114 SUNBEAM RD, BUILDING 100, SUITE 102, JACKSONVILLE, FL 32257-8847
(904) 880-1400
(904) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0073682
FL
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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