Gayle, Michael Oliver

Gayle, Michael Oliver is an individual health care provider with primary practice located at 800 Prudential Dr Ufjp Pediatric Critical Care Medicine, Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Gayle, Michael Oliver can be contacted via phone (904) 202-8758.

Contact Information

Primary practice address
800 Prudential Dr Ufjp Pediatric Critical Care Medicine Jacksonville FL 32207-8202
Fax: (904) 306-9884
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME61274 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME61274 Florida

Profile Details

NPI number 1962471060
LBN Legal business name Gayle, Michael Oliver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 27th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962471060 NPPES
Florida MEDICAID 3705439-00
Florida MEDICAID 000505865D

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