Organization
CHRIS B RATHBURN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS B RATHBURN MD (PRESIDENT)
(904) 306-9700
Entity
Organization
Contact information
Practice address
3627 UNIVERSITY BLVD S, SUITE 435, JACKSONVILLE, FL 32216-4230
(904) 306-9700
(904) 396-5577
Mailing address
3627 UNIVERSITY BLVD S, SUITE 435, JACKSONVILLE, FL 32216-4230
(904) 306-9700
(904) 396-5577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74516
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/31/2006
Last updated
08/22/2020
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