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NPI Code Detail

MEDICARE: GINA P SALSBURG

MEDICARE:   GINA P SALSBURG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS0022713FL

General Provider Information

NPI Number : 1235734534
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA P SALSBURG
Provider Business Mailing Address
First Line : 11900 MCCORMICK RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-1839
Country : US
Telephone Number : 904-642-7460
Fax Number : 904-998-9732
Provider Business Practice Location Address
First Line : 11900 MCCORMICK RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-1839
Country : US
Telephone Number : 904-642-7460
Fax Number : 904-998-9732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2020
Last Update Date : 12/03/2020

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Directions to “ GINA P SALSBURG ” Practice Location

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