Individual
GRETCHEN BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10250 NORMANDY BLVD UNIT 802, JACKSONVILLE, FL 32221-8064
(904) 282-6331
(904) 379-7165
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAC0510
ND
363AM0700X
Medical Physician Assistant
Primary
9108410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71240
—
ND
Enumeration date
11/20/2012
Last updated
09/20/2022
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