Individual
MATTHEW DAVID GARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8758
(904) 202-8758
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3312
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
17997
SC
208000000X
Pediatrics Physician
Primary
ME128099
FL
208M00000X
Hospitalist Physician
ME128099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'020104400
—
FL
05
—
179979
—
SC
01
—
5162631
AETNA
SC
01
—
57-6007863032
BCBS OF SC
SC
01
—
57-6007863103
BLUE CHOICE OF SC
SC
01
—
7384439
CIGNA
SC
Enumeration date
06/15/2006
Last updated
03/02/2022
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