GBT LBA

NPI # 

Practice Address:

3101 University Blvd S , Suite 203

Jacksonville, FL, 32216-2790

Practice Phone:

904-518-9654

Practice Fax:

904-724-5770

License Number:

208VP0014X

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Pain

Taxonomy Code:

261QP3300X

Updated by NPPES on 12/3/2014. You can view the original data set for NPI # 1710384979 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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GBT LBA's

CMS CPT® coding data

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GBT LBA's

CMS prescription data

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