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Organization
ANDREW GIBSON
Active
Organization
ANDREW GIBSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GIBSON PA-C (OWNER)
(904) 998-0997
Entity
Organization
Contact information
Practice address
12869 DUNES CT, JACKSONVILLE, FL 32225-3889
(904) 998-0997
(904) 824-2226
Mailing address
12869 DUNES CT, JACKSONVILLE, FL 32225-3889
(904) 998-0997
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2492
FL
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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