Organization
PHYSICIANS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON B GARVER DC (MGRM/MEMBER)
(904) 213-1776
Entity
Organization
Contact information
Practice address
2020 KINGSLEY AVE STE D, ORANGE PARK, FL 32073-5139
(904) 213-1776
Mailing address
9826 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5438
(904) 262-9444
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/10/2009
Last updated
09/11/2009
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