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1124625801
GIBSON MEDICAL PA
ST AUGUSTINE, FL
NPI
1124625801
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Entity Type
Organization
Authorized Contact
GREGORY GIBSON
President
904-495-5269
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
GIBSON MEDICAL PA
307 ALCAZAR ST
ST AUGUSTINE, FL 32080-3708
Phone number: 904-495-5269
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Mailing Address
GIBSON MEDICAL PA
PO BOX 3123
ST AUGUSTINE, FL 32085-3123
Phone number:
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