GBT LBA

JACKSONVILLE, FL
NPI1710384979
Entity TypeOrganization
Authorized ContactJAMES COKER
President
904-518-9654
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
(Licence: FL  208vp0014x)
Enumeration Date2014-12-03
Last Update Date2014-12-03
Business Address
GBT LBA
3101 UNIVERSITY BLVD S SUITE 203
JACKSONVILLE, FL 32216-2790
Phone number: 904-518-9654
Mailing Address
GBT LBA
2895 EGRET CT
NORTH PORT, FL 34287-2369
Phone number: 904-518-9654
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