Orange Park Hospitalists LLC

NPI #1114106911 in Jacksonville, Florida

Provider Information

NPI Number: 1114106911
Entity Type: Organization
Organization Name: Orange Park Hospitalists LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 29, 2007
Last Updated: Jan 18, 2008

Practice Location

Address: 1800 BARRS ST
City: Jacksonville
State: Florida
ZIP Code: 32204-4704
Phone: (904) 276-2044

Authorized Official

Name: JAIME M GIBBS
Title: CREDENTIALING COORDINATOR
Phone: (904) 962-4271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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