Individual
DR. CALVIN L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8793 COMMODITY CIR, ORLANDO, FL 32819-9005
(407) 351-8200
(407) 351-7696
Mailing address
8793 COMMODITY CIR, ORLANDO, FL 32819-9005
(407) 351-8200
(407) 351-7696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0050339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04146
BLUE CROSS BLUE SHIELD
FL
05
—
064291601
—
FL
01
—
2221393
AETNA HMO
FL
01
—
4091317
AETNA PPO
FL
Enumeration date
11/28/2005
Last updated
05/20/2020
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