Individual
JEFFREY LEE GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 N 9TH AVE, ER, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15687
MS
207P00000X
Emergency Medicine Physician
Primary
ME68507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119219
—
MS
05
—
274636100
—
FL
Enumeration date
03/15/2006
Last updated
10/17/2019
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