Organization
GEOFFREY J. GIBSON DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY JAMES GIBSON D.O. (OWNER)
(727) 430-5433
Entity
Organization
Contact information
Practice address
1501 5TH AVE N, ST PETERSBURG, FL 33705-2008
(727) 430-5442
Mailing address
7901 SEMINOLE BLVD, (1205), SEMINOLE, FL 33772-4828
(727) 430-5433
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS-0006669
FL
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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