Organization · Type 2 NPI

GBT Lba

Pain Clinic/Center · Jacksonville, FL

NPI number 1710384979 Active

Practice location

3101 University Blvd S, Suite 203
Jacksonville, FL 32216-2790

Call (904) 518-9654 Map

Fax (904) 724-5770

Mailing address

2895 Egret Ct
North Port, FL 34287-2369

Specialties and licenses

TaxonomyCodeLicense
Pain Clinic/Center Primary 261QP3300X208VP0014X (FL)

Pain Clinic/Center: Definition to come...

17 other providers at this address

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About NPI 1710384979

GBT Lba's National Provider Identifier is 1710384979, issued on Dec 3, 2014. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 3, 2014.