DRS BAKER & GILMOUR MD PA NPI 1023005501

NPI Information

DRS BAKER & GILMOUR MD PA is a cardiovascular disease internal medicine in Jacksonville, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DRS BAKER & GILMOUR MD PA NPI is 1023005501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3550 UNIVERSITY BLVD S
SUITE 302
JACKSONVILLE, FL
ZIP 32216-246
Phone: (904) 733-4444
Fax: (904) 733-5377

The provider's authorized official is Jody Bostic .
The authorized official title is Practice Administrator and has the following contact phone number (904) 733-4444.

The CLIA number assigned to this NPI record is 10D0269244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 12/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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