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Individual

DR. GORDON M. POLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 32207-8334
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME51872
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020040220
RAILROAD MEDICARE
FL
01
100414
AVMED
01
12615
BCBS FL
01
1265866
CIGNA
05
274941600
FL
01
4664231
AETNA
Enumeration date
05/02/2006
Last updated
07/28/2015
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