Individual provider · Type 1 NPI

Virginia Gibson Black, MD

Pediatrics Physician · Jacksonville, FL

NPI number 1629159223 Active

Practice location

14810 Old Saint Augustine Rd Ste 106, Credentialing Department
Jacksonville, FL 32258-2558

Call (904) 268-7701 Map

Fax (904) 268-9708

Mailing address

PO Box 45443
Salt Lake City, UT 84145-0443

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XME78245 (FL)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1629159223

Virginia Gibson Black, MD's National Provider Identifier is 1629159223, issued on Oct 18, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 28, 2018.