Gibson Medical PA

NPI #1124625801 in St Augustine, Florida

Provider Information

NPI Number: 1124625801
Entity Type: Organization
Organization Name: Gibson Medical PA
Primary Specialty: Internal Medicine
Enumeration Date: Oct 6, 2020
Last Updated: Oct 6, 2020

Practice Location

Address: 307 ALCAZAR ST
City: St Augustine
State: Florida
ZIP Code: 32080-3708
Phone: (904) 495-5269

Authorized Official

Name: DR. GREGORY GIBSON, MD
Title: PRESIDENT
Phone: (904) 495-5269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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