Gibson, Xunda A.
Gibson, Xunda A. is an sole proprietor health care provider with primary practice located at 17940 Nw 27Th Ave , Miami Gardens FL 33056-3505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gibson, Xunda A. can be contacted via phone (305) 621-8899.Contact Information
Primary practice address
17940 Nw 27Th Ave
Miami Gardens FL 33056-3505
Phone: (305) 621-8899
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A83389 | California |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME89553 | Florida |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2771 | Virgin Islands |
Profile Details
NPI number | 1205879202 |
---|---|
LBN Legal business name | Gibson, Xunda A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2006 |
Last updated | Apr 8th, 2024 - about 7 months 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 | 1205879202 | NPPES |
Florida | Other | 35070 | BCBS |
Florida | MEDICAID | 270783700 | BCBS |
Florida | MEDICAID | 270783703 | BCBS |
Florida | Other | P00322676 | BCBS |
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