Organization
PULMONARY AND CRITICAL CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME M GIBBS (ADMINISTRATOR)
(904) 276-2044
Entity
Organization
Contact information
Practice address
7625 SW 62ND CT, SUITE 100, OCALA, FL 34476-8322
(352) 237-8903
(352) 237-8962
Mailing address
1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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