Healthcare Provider Details

I. General information

NPI: 1639336886
Provider Name (Legal Business Name): SAYER K GUNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 RIVERPLACE BLVD #620
JACKSONVILLE FL
32207-9046
US

IV. Provider business mailing address

1200 RIVERPLACE BLVD #620
JACKSONVILLE FL
32207-9046
US

V. Phone/Fax

Practice location:
  • Phone: 904-396-6620
  • Fax: 904-396-6528
Mailing address:
  • Phone: 904-396-6620
  • Fax: 904-396-6528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number35.093812
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: