Organization
GIEBEIG FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER WENDELL GIEBERG JR. MD (MEDICAL DIRECTOR)
(386) 752-0090
Entity
Organization
Contact information
Practice address
5085 WEST US HWY 90, LAKE CITY, FL 32055
(386) 752-0090
(386) 719-9494
Mailing address
PO BOX 159, LAKE CITY, FL 32056-0159
(386) 752-0090
(386) 719-9494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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