Organization
JACKSONVILLE EMERGENCY CONSULTANTS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY GYARMATHY MD (PRESIDENT)
(904) 641-6628
Entity
Organization
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 276-8500
Mailing address
PO BOX 860554, ORLANDO, FL 32886-0554
(904) 641-6628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057630102
—
FL
01
—
99199B
BCBS GROUP
FL
Enumeration date
09/15/2005
Last updated
06/08/2011
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