Individual
PETRA DURAN-GEHRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP EMERGENCY MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-5044
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3426
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A91694
CA
207P00000X
Emergency Medicine Physician
Primary
ME91161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250684688F
—
GA
05
—
2704820-00
—
FL
01
—
P00381624
RR MEDICARE
FL
Enumeration date
08/30/2006
Last updated
07/25/2016
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