GAVIN DOUGLAS DIVERTIE

JACKSONVILLE, FL
NPI1073500369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: FL  ME54277)
Enumeration Date2005-10-01
Last Update Date2023-09-25
Business Address
GAVIN DOUGLAS DIVERTIE MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
GAVIN DOUGLAS DIVERTIE MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: