Individual
DOUGLAS RAYFIELD OGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
858 MONUMENT RD, SUITE A, JACKSONVILLE, FL 32225
(904) 450-6600
(904) 450-6369
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 396-6620
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9106950
FL
363AM0700X
Medical Physician Assistant
Primary
PA9106950
FL
Other
Enumeration date
10/29/2012
Last updated
04/24/2018
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