Individual
DR. JERRY WINFIELD GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN HOSPITAL, WINTER HAVEN, FL 33881-4131
(863) 292-4202
(863) 292-4103
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME44690
FL
Other
Enumeration date
01/21/2006
Last updated
12/02/2007
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