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Individual

DAVID H OGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Mailing address
PO BOX 5278, JACKSONVILLE, FL 32247-5278
(904) 398-3356
(904) 398-5397

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0038064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067207600
FL
Enumeration date
12/05/2005
Last updated
02/10/2011
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