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Gbt Lba
Pain Clinic/Center in Jacksonville, Florida
NPI 1710384979

Gbt Lba is a Pain Clinic/Center based in North Port, FL and is specialized in Pain. Gbt Lba practices in Jacksonville, FL. The NPI Number for Gbt Lba is 1710384979 and holds a License No. 208VP0014X (Florida).

The current practice location address for Gbt Lba is 3101 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-518-9654 and via fax at 904-724-5770.

Location: 3101 University Blvd S, Jacksonville, FL, 34287-2369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710384979
Provider Name
Gbt Lba
Credential
Provider Entity Type
Organization
Address
3101 University Blvd S, Jacksonville, FL, 34287-2369
Phone Number
904-518-9654
Fax Number
904-724-5770
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427002799 01 NPI
institution
Provider Business Practice Location Address Details
Address
3101 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-2790
Phone Number
904-518-9654
Fax Number
904-724-5770
person
Provider Business Mailing Address Details
Address
3101 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-2790
Phone Number
904-518-9654
Fax Number
904-724-5770
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
208VP0014X (Florida)
Definition
Definition to come...
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