Organization
LONDON OBSTETRIC AND GYNECOLOGIC SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY MINOLTA LONDON M.D. (PRESIDENT)
(904) 880-1400
Entity
Organization
Contact information
Practice address
4114 SUNBEAM RD, BUILDING 100, SUITE 102, JACKSONVILLE, FL 32257-8847
(904) 880-1400
(904) 886-4433
Mailing address
4114 SUNBEAM RD, BUILDING 100, SUITE 102, JACKSONVILLE, FL 32257-8847
(904) 880-1400
(904) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0073682
FL
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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