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

Dr. Fred Lloyd Gibson IV, DC

Individual provider Chiropractor · NPI 1578077228

Dr. Fred Lloyd Gibson IV, DC is a Chiropractor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12627 San Jose Blvd Ste 305
Jacksonville, FL 32223-8639
Phone: (904) 683-4376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 12141 (FL)

Record details

NPI number1578077228
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESSeptember 26, 2023
Certification dateJune 29, 2023

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