Individual
THEA PRISCILLA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036143981
IL
208600000X
Surgery Physician
2016-02388
NC
208600000X
Surgery Physician
Primary
ME168598
FL
2086S0102X
Surgical Critical Care Physician
036-143981
IL
2086S0102X
Surgical Critical Care Physician
036143981
IL
2086S0127X
Trauma Surgery Physician
036143981
IL
2086S0127X
Trauma Surgery Physician
2016-02388
NC
Other
Enumeration date
04/01/2009
Last updated
08/29/2024
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