Virginia Gibson Black
M.D. | Pediatrics | Female
Virginia Gibson Black, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Virginia Gibson Black is
14810 Old Saint Augustine Rd Ste 106, Credentialing Department, Jacksonville, Florida - 32258-2558. She can be contacted on phone at
904-268-7701 and fax number 904-268-9708.
Virginia Gibson Black is a sole proprietor of her business.
NPI number (Unique professional ID) for Virginia Gibson Black is
1629159223 which was assigned by NPPES on 18 Oct, 2006 and it was last updated on 28 Dec, 2018.
Virginia Gibson Black license number is
ME78245 for Pediatrics (208000000X) in Florida.
Virginia Gibson Black is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Virginia Gibson Black basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Virginia Gibson Black |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Virginia Gibson Black address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14810 Old Saint Augustine Rd Ste 106, Credentialing Department
Jacksonville, FL, 32258-2558
United States |
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| Phone Number : | 904-268-7701 |
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| Fax Number : | 904-268-9708 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629159223 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Oct, 2006 |
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| Last Updated On : | 28 Dec, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Virginia Gibson Black are as mentioned. Primary taxonomy code for Virginia Gibson Black, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME78245 | FL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 45443
Salt Lake City, UT, 84145-0443
United States |
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| Phone Number : | 904-202-1032 |
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| Fax Number : | 904-376-4107 |
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Business Location:
Patients can refer following map for directions to
Virginia Gibson Black practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.