# LONDON OBSTETRIC AND GYNECOLOGIC SERVICES, PA

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

## Provider details

- **NPI number:** 1265840771
- **Authorized official:** DR. BEVERLY MINOLTA LONDON M.D. (PRESIDENT)
- **Authorized official phone:** (904) 880-1400

## Contact information

- **Practice address:** 4114 SUNBEAM RD, BUILDING 100, SUITE 102, JACKSONVILLE, FL 32257-8847
- **Practice address phone:** (904) 880-1400
- **Practice address fax:** (904) 886-4433
- **Mailing address:** 4114 SUNBEAM RD, BUILDING 100, SUITE 102, JACKSONVILLE, FL 32257-8847
- **Mailing address phone:** (904) 880-1400
- **Mailing address fax:** (904) 886-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0073682 | FL | Yes |

## Other

- **Enumeration date:** 07/28/2014
- **Last updated:** 07/28/2014