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Organization
STEPHEN B. GILL, M.D.,P.A.
Active
Organization
STEPHEN B. GILL, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BOYD GILL M.D. (PRESIDENT)
(904) 284-2828
Entity
Organization
Contact information
Practice address
3189 US HIGHWAY 17 S, GREEN COVE SPRINGS, FL 32043-9371
(904) 284-2828
(904) 284-2810
Mailing address
3189 HIGHWAY 17 S, GREEN COVE SPRINGS, FL 32043-9371
(904) 284-2828
(904) 284-2810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0037009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15612
BLUE CROSS BLUE SHIELD
FL
01
—
208457
AVMED
FL
Enumeration date
06/27/2006
Last updated
08/22/2020
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