Gibson Of Jax, Inc. is a
Developmental Therapist based in Jacksonville, Florida. Gibson Of Jax, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
3775 Cricket Cove Rd E, Jacksonville, Florida. It can be reached at their office (for appointments etc.) via phone at
(904) 254-0337.
NPI number for Gibson Of Jax, Inc. is 1831422112 and their current mailing address is 3775 Cricket Cove Rd E, Jacksonville, Florida. Gibson Of Jax, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1831422112.
Healthcare Provider's Profile
Full Name | Gibson Of Jax, Inc. |
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Type | Facility |
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Speciality | Developmental Therapist |
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Location | 3775 Cricket Cove Rd E, Jacksonville, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831422112
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 09/17/2009
Medical Identifiers
Medical identifiers for Gibson Of Jax, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831422112 | NPI | - | NPPES |
1356441828 | Other | | INDIVIDUAL NPI |
885295200 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA 5525 (Florida) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gibson Of Jax, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gibson Of Jax, Inc. 3775 Cricket Cove Rd E, Jacksonville, FL 32224-8401 Ph: (904) 254-0337 | Gibson Of Jax, Inc. 3775 Cricket Cove Rd E, Jacksonville, FL 32224-8401 Ph: (904) 254-0337 |
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