Gibson, Gregory Alan
Gibson, Gregory Alan is an sole proprietor health care provider with primary practice located at 300 Health Park Blvd Suite 5008, Saint Augustine FL 32086-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Gibson, Gregory Alan can be contacted via phone (904) 824-3777.Contact Information
Primary practice address
300 Health Park Blvd Suite 5008
Saint Augustine FL 32086-3707
Phone: (904) 824-3777
Fax: (904) 824-6050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME0060293 | Florida |
Profile Details
| NPI number | 1548270630 |
|---|---|
| LBN Legal business name | Gibson, Gregory Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Mar 31st, 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 | 1548270630 | NPPES |
| Florida | Other | P01087699 | RAILROAD MEDICARE |
| Florida | Other | 12553 | RAILROAD MEDICARE |
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