Individual
STEPHEN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4689 HIGHWAY 17, SUITE 11, FLEMING ISLAND, FL 32003
(904) 375-9753
(904) 375-8380
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2019-01449
NC
207XX0801X
Orthopaedic Trauma Physician
Primary
ME145626
FL
Other
Enumeration date
05/05/2014
Last updated
09/14/2020
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