Organization
JAX VISITING MEDICAL PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAN P OBRERO-GINES MD (PHYSICIAN)
(904) 513-4947
Entity
Organization
Contact information
Practice address
9957 MOORINGS DR, 204, JACKSONVILLE, FL 32257-2412
(904) 513-4947
(904) 513-4948
Mailing address
1600 SHEFFIELD PARK CT, JACKSONVILLE, FL 32225-2667
(904) 382-2608
(904) 221-9408
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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