Individual
PHILIP GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3800 CENTRAL AVE, ST PETERSBURG, FL 33711-1237
(727) 327-7656
(727) 322-2110
Mailing address
4024 CENTRAL AVE, ROOM 200, ST PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 322-2110
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9362433
FL
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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