Individual
DR. GREGORY CHARLES TOMLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7807 BAYMEADOWS RD E, STE 209, JACKSONVILLE, FL 32256-9664
(904) 330-1024
(904) 330-1027
Mailing address
8773 PERIMETER PARK CT, JACKSONVILLE, FL 32216-1165
(904) 493-3390
(904) 493-3395
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME86960
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME86960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015008-00
—
FL
01
—
003119716A
GEORGIA MEDICAID - INDIVIDUAL
GA
01
—
004XP
FLORIDA BLUE - GROUP
FL
01
—
0103467-00
FL MEDICAID - GROUP
FL
01
—
10786680
CIGNA
FL
01
—
295965
AVMED
FL
01
—
HR822A
FL MEDICARE - GROUP
FL
01
—
P00030751
RAILROAD
—
Enumeration date
08/25/2005
Last updated
08/04/2016
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