Individual
DR. ROBERT ALLEN GILLHAM JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME55597
FL
207KA0200X
Allergy Physician
ME55597
FL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
ME55597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09696
BLUE CROSS/BLUS SHIELD
FL
Enumeration date
10/01/2005
Last updated
09/11/2025
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