Gibson, Andrew Kevin

Gibson, Andrew Kevin is an individual health care provider with primary practice located at 2 Shircliff Way Suite 500, Jacksonville FL 32204-4753. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gibson, Andrew Kevin can be contacted via phone (904) 389-8861.

Contact Information

Primary practice address
2 Shircliff Way Suite 500 Jacksonville FL 32204-4753
Phone: (904) 389-8861
Fax: (904) 389-5820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 2492 Florida

Profile Details

NPI number 1346211463
LBN Legal business name Gibson, Andrew Kevin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 6th, 2014 - about 12 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 1346211463 NPPES
Florida MEDICAID 290731300

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