Gibbons, George
Gibbons, George is an individual health care provider with primary practice located at 10500 University Center Dr Ste 175, Tampa FL 33612-6494. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Gibbons, George can be contacted via phone (800) 929-6694.Contact Information
Primary practice address
10500 University Center Dr Ste 175
Tampa FL 33612-6494
Phone: (800) 929-6694
Fax: (407) 856-2312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | ME94720 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C1-0007055 | Delaware |
Profile Details
| NPI number | 1972587004 |
|---|---|
| LBN Legal business name | Gibbons, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | May 8th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972587004 | NPPES |
| Florida | MEDICAID | 274275600 |
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