Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gibson Medical PA

Organization Internal Medicine Physician · NPI 1124625801

Gibson Medical PA is an Internal Medicine Physician in St Augustine, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

307 Alcazar St
St Augustine, FL 32080-3708
Phone: (904) 495-5269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1124625801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Gibson — President · (904) 495-5269
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020
Mailing addressPo Box 3123, St Augustine, FL 32085-3123

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