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

Gredymar Patricia Marin Tovar, MD

Individual provider Family Medicine Physician · NPI 1104520402

Gredymar Patricia Marin Tovar, MD is a Family Medicine Physician in Jacksonville, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2023.

Licensed in
FL, GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11851 Stillwood Pines Blvd Ste 103
Jacksonville, FL 32224-4435
Phone: (904) 376-4935
Fax: (904) 376-3218
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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 ME181900 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 15053 (GA)

Record details

NPI number1104520402
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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