Individual
JESSE CLINTON GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3705 JOSE TER, JACKSONVILLE, FL 32217-3554
(904) 465-6879
Mailing address
3705 JOSE TER, JACKSONVILLE, FL 32217-3554
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
ME55714
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME55714
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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