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

Southeast Gynecologic Oncology Associates PA

Organization Gynecologic Oncology Physician · NPI 1417905993

Southeast Gynecologic Oncology Associates PA is a Gynecologic Oncology Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

915 W Monroe St #300
Jacksonville, FL 32204-1149
Phone: (904) 389-3993
Fax: (904) 389-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1417905993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Davis — Administrator · (904) 389-3993
NPI enumeratedMay 5, 2006
Last updated in NPPESJuly 1, 2008
Mailing address915 W Monroe St, 300, Jacksonville, FL 32204-1149

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