Organization
DRS BAKER & GILMOUR MD PA
Active
Organization
DRS BAKER & GILMOUR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY BOSTIC (PRACTICE ADMINISTRATOR)
(904) 733-4444
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD, SUITE 617, JACKSONVILLE, FL 32223-8628
(904) 880-0025
Mailing address
3550 UNIVERSITY BLVD S, SUITE 302, JACKSONVILLE, FL 32216-4246
(904) 733-4444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252952100
—
FL
01
—
77241
BCBS
FL
01
—
CB1978
RAILROAD MEDICARE
FL
Enumeration date
01/19/2007
Last updated
09/01/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up