Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA P.L.
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAURANG NAGINLAL SHAH M.D. (PRESIDENT)
(904) 737-2300
Entity
Organization
Contact information
Practice address
4123 UNIVERSITY BLVD S STE A, JACKSONVILLE, FL 32216-4320
(904) 737-2300
(904) 737-2441
Mailing address
4123 UNIVERSITY BLVD S STE A, JACKSONVILLE, FL 32216-4320
(904) 737-2300
(904) 737-2441
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME38507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066207100
—
FL
Enumeration date
04/03/2007
Last updated
06/24/2010
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