Organization
SEABURY D STONEBURNER JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEABURY D STONEBURNER JR. M.D. (OWNER)
(904) 389-9681
Entity
Organization
Contact information
Practice address
3 SHIRCLIFF WAY, SUITE 658, JACKSONVILLE, FL 32204-4757
(904) 389-9681
(904) 389-7975
Mailing address
3 SHIRCLIFF WAY, SUITE 658, JACKSONVILLE, FL 32204-4757
(904) 389-9681
(904) 389-7975
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058252200
—
FL
Enumeration date
08/18/2008
Last updated
12/02/2008
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