Organization
SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA DAVIS (ADMINISTRATOR)
(904) 389-3993
Entity
Organization
Contact information
Practice address
915 W MONROE ST, #300, JACKSONVILLE, FL 32204-1149
(904) 389-3993
(904) 389-3994
Mailing address
915 W MONROE ST, #300, JACKSONVILLE, FL 32204-1149
(904) 389-3993
(904) 389-3994
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
07/01/2008
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