Individual
DR. PHILIP PAUL METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
LD13
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000908100
—
FL
01
—
05787
BLUECROSS/BLUESHIELD
FL
05
—
268586800
—
FL
01
—
700006025
RAILROAD MEDICARE
FL
Enumeration date
10/04/2005
Last updated
06/16/2009
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