Gbt Lba
Gbt Lba is a Pain Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
3101 University Blvd S Ste 203Jacksonville, FL 32216-2790
Phone: (904) 518-9654
Fax: (904) 724-5770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Clinic/Center (primary) | Taxonomy 261QP3300X · Licence 208VP0014X (FL) |
|---|
Record details
| NPI number | 1710384979 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Coker — President · (904) 518-9654 |
| NPI enumerated | December 3, 2014 |
| Last updated in NPPES | December 3, 2014 |
| Mailing address | 2895 Egret Ct, North Port, FL 34287-2369 |
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