Healthcare Provider Details

I. General information

NPI: 1326827569
Provider Name (Legal Business Name): GIL A CU MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15255 MAX LEGGETT PKWY STE 5000
JACKSONVILLE FL
32218-7274
US

IV. Provider business mailing address

10150 BELLE RIVE BLVD UNIT 602
JACKSONVILLE FL
32256-9589
US

V. Phone/Fax

Practice location:
  • Phone: 904-228-7239
  • Fax: 800-747-3061
Mailing address:
  • Phone: 904-228-7239
  • Fax: 800-747-3061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GIL ASUNCION CU
Title or Position: PHYSICIAN
Credential: MD
Phone: 904-228-7239