Organization
PULMONARY AND CRITICAL CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME M GIBBS (ADMINISTRATOR)
(904) 276-2044
Entity
Organization
Contact information
Practice address
2 SHIRCLIFF WAY, SUITE 120, JACKSONVILLE, FL 32204-4753
(904) 619-2006
(904) 619-2624
Mailing address
1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
12/09/2009
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