Individual
DR. GUDNI THORSTEINSSON
Active
Sole proprietor
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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LD32
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11384
BLUECROSS/BLUESHIELD
FL
Enumeration date
10/22/2005
Last updated
07/08/2007
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