Individual
DR. JEB MAHAN JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 100264, GAINESVILLE, FL 32610-0264
(352) 273-5199
(352) 392-6781
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
6851462-1205
UT
207Y00000X
Otolaryngology Physician
Primary
ME109361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006615800
—
FL
Enumeration date
02/14/2008
Last updated
06/01/2020
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