Individual
ANNIE L GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNF DR, JACKSONVILLE, FL 32224-7699
(902) 620-2841
Mailing address
3709 SAN PABLO RD S APT 1804, JACKSONVILLE, FL 32224-4825
(813) 785-0079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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