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

Naval Hospital Jacksonville

Organization Family Medicine Physician · NPI 1124050448

Naval Hospital Jacksonville is a Family Medicine Physician in Jacksonville, Florida. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 542-7762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101235535 (VA)

Record details

NPI number1124050448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Wilson — Resident · (904) 542-7762
NPI enumeratedJuly 7, 2006
Last updated in NPPESSeptember 19, 2007
Mailing address2080 Child St, Jacksonville, FL 32214-5005

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