Individual
DR. JAMI LYN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
PO BOX 9790, DAYTONA BEACH, FL 32120-9790
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME116004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201004250
—
IN
05
—
7100138730
—
KY
Enumeration date
10/17/2006
Last updated
12/18/2013
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