Individual provider · Type 1 NPI
Robert Allen Gillham Jr., MD
Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Jacksonville, FL
NPI number
1285621573
Active
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME55597 (FL) |
| Allergy Physician | 207KA0200X | ME55597 (FL) |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary | 207KI0005X | ME55597 (FL) |
Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..
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About NPI 1285621573
Robert Allen Gillham Jr., MD's National Provider Identifier is 1285621573, issued on Oct 1, 2005. The primary taxonomy on file is Clinical & Laboratory Immunology (Allergy & Immunology) Physician (207KI0005X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.