Gibbs, Susan J

Gibbs, Susan J is an individual health care provider with primary practice located at 13417 Us Highway 301 Ste B, Dade City FL 33525-5446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibbs, Susan J can be contacted via phone (352) 521-3967.

Contact Information

Primary practice address
13417 Us Highway 301 Ste B Dade City FL 33525-5446
Phone: (352) 521-3967
Fax: (813) 355-5028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9303680 Florida

Profile Details

NPI number 1639572373
LBN Legal business name Gibbs, Susan J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Apr 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639572373 NPPES
Florida Other UAZQS BC/BS FLORIDA BLUE
Florida Other P01624167 BC/BS FLORIDA BLUE

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