Individual provider · Type 1 NPI

Fred Lloyd Gibson Iv, DC

Chiropractor · Jacksonville, FL

NPI number 1578077228 Active

Practice location

12627 San Jose Blvd Ste 305
Jacksonville, FL 32223-8639

Call (904) 683-4376 Map

Mailing address

379 Lake Kathryn Cir
Casselberry, FL 32707-3001

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X12141 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1578077228

Fred Lloyd Gibson Iv, DC's National Provider Identifier is 1578077228, issued on Nov 16, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 26, 2023.