GBT LBA (NPI# 1710384979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710384979 |
| Entity Type | Organization |
| Organization Name | GBT LBA |
| Practice Address |
3101 University Blvd S Suite 203 Jacksonville FL 32216-2790 |
| Mailing Address |
2895 Egret Ct North Port FL 34287-2369 |
| Practice Telephone | 9045189654 |
| Practice Fax Number | 9047245770 |
| Mailing Telephone | 9045189654 |
| Mailing Fax Number | 9047245770 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | MR. JAMES COKER (PRESIDENT) |
| Authorized Official Telephone | 9045189654 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
208VP0014X | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1427002799 | 01 |
| Street Address |
3101 UNIVERSITY BLVD S SUITE 203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779262 | Fidel Garcia | Internal Medicine | 3101 University Blvd S, Suite 102, Jacksonville, FL 32216 | 2005-09-09 |
| 1265077952 | Christopher David Rosenberg | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-11-17 |
| 1447895149 | Angela Marie Parks | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-11-17 |
| 1447895131 | Cidney Tabatha Hodges | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-11-17 |
| 1932741600 | James Paul Bergeron | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-14 |
| 1639711765 | Jeffrey Allen Harry | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-10 |
| 1093357204 | Melissa O'quin | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-10-09 |
| 1881168433 | Curequest Clinical, LLC | Specialist | 3101 University Blvd S, Jacksonville, FL 32216-2790 | 2019-01-16 |
| 1063895753 | Omega Health & Wellness | Clinic/Center | 3101 University Blvd S, Suite 203, Jacksonville, FL 32216-2790 | 2015-06-30 |
| 1144621616 | Gbt Lab Inc | Clinical Medical Laboratory | 3101 University Blvd S, Suite 203, Jacksonville, FL 32216-2790 | 2014-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| 1811367832 | Allied Pain Management | Clinic/Center | 4270 Point La Vista Rd W, Jacksonville, FL 32207-6248 | 2015-10-02 |
| 1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
| 1740750967 | Florida Institute of Pain Medicine LLC | Clinic/Center | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2018-11-30 |
| 1063895753 | Omega Health & Wellness | Clinic/Center | 3101 University Blvd S, Suite 203, Jacksonville, FL 32216-2790 | 2015-06-30 |
| 1912158783 | Florida Regional Pain Management, Pa | Clinic/Center | 8259 Bayberry Rd, Jacksonville, FL 32256-7432 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1730611526 | Metro Medical Center Corporation | Clinic/Center | 3940 Metro Pkwy Ste 103, Fort Myers, FL 33916-9407 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.