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Jerry Lee Gaut, DO
General Practice Physician in Jacksonville, Florida
NPI 1477296663

Jerry Lee Gaut is a General Practice Physician based in Jacksonville, FL. Jerry Lee Gaut practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Jerry Lee Gaut is 1477296663 and holds a License No. 0102208063 (Florida).

The current practice location address for Jerry Lee Gaut is 2080 Child St Dept 5000, Jacksonville, FL and can be reached out via phone at 904-542-7762.

Location: 2080 Child St Dept 5000, Jacksonville, FL, 32214-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477296663
Provider Name
Jerry Lee Gaut
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2080 Child St Dept 5000, Jacksonville, FL, 32214-5005
Phone Number
904-542-7762
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St Dept 5000
City
Jacksonville
State
Florida
Zip
32214-5000
Phone Number
904-542-7762
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St Dept 5000
City
Jacksonville
State
Florida
Zip
32214-5000
Phone Number
904-542-7762
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102208063 (Virginia)
Definition
Definition to come...
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