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Individual

DR. JEFFREY BIBERSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7560
(757) 953-7560
Mailing address
554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7560
(757) 953-7560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204327
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0102204327
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO-0116
GU
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
EMTL-2022-038
GU
207RP1001X
Pulmonary Disease Physician
DO-0116
GU
207RP1001X
Pulmonary Disease Physician
EMTL-2022-038
GU
207RP1001X
Pulmonary Disease Physician
U7836
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/10/2014
Last updated
04/08/2024
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