Gibson, Xunda A.

Gibson, Xunda A. is an sole proprietor health care provider with primary practice located at 17940 Nw 27Th Ave , Miami Gardens FL 33056-3505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gibson, Xunda A. can be contacted via phone (305) 621-8899.

Contact Information

Primary practice address
17940 Nw 27Th Ave Miami Gardens FL 33056-3505
Phone: (305) 621-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A83389 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME89553 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2771 Virgin Islands

Profile Details

NPI number 1205879202
LBN Legal business name Gibson, Xunda A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Apr 8th, 2024 - about 2 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 1205879202 NPPES
Florida Other 35070 BCBS
Florida MEDICAID 270783700 BCBS
Florida MEDICAID 270783703 BCBS
Florida Other P00322676 BCBS

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