Individual
MS. ARIA RAE GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2370 MARKET DR, FLEMING ISLAND, FL 32003-4326
(904) 264-2601
(904) 264-6858
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-7453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014260
NY
363A00000X
Physician Assistant
PA1393
ME
363AM0700X
Medical Physician Assistant
PA9120053
FL
Other
Enumeration date
09/17/2010
Last updated
09/22/2025
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