Organization
DR JARED GAINES MD PA
Active
Other names
North Florida Family Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JARED B GAINES MD (OWNER)
(352) 284-4216
Entity
Organization
Contact information
Practice address
1555 KINGSLEY AVE BLDG 300, SUITE 305, ORANGE PARK, FL 32073-4560
(352) 284-4216
(866) 681-5094
Mailing address
1555 KINGSLEY AVE BLDG 300, SUITE 305, ORANGE PARK, FL 32073-4560
(352) 284-4216
(866) 681-5094
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00760459
RR MEDICARE
FL
Enumeration date
04/23/2009
Last updated
11/25/2009
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