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NPI Code Detail

MEDICARE: DR. GREGORY CHARLES TOMLINSON MD

MEDICARE:  DR. GREGORY CHARLES TOMLINSON  MD
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
1207RC0000XCardiovascular Disease PhysicianME86960FL
2207RI0011XInterventional Cardiology PhysicianME86960FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2HR822AOTHERFLFL MEDICARE - GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3004XPOTHERFLFLORIDA BLUE - GROUP
410786680OTHERFLCIGNA
5P00030751OTHERRAILROAD
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8295965OTHERFLAVMED

General Provider Information

NPI Number : 1639162522
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY CHARLES TOMLINSON MD
Provider Business Mailing Address
First Line : 8773 PERIMETER PARK CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1165
Country : US
Telephone Number : 904-493-3390
Fax Number : 904-493-3395
Provider Business Practice Location Address
First Line : 7807 BAYMEADOWS RD E
Second Line : STE 209
City : JACKSONVILLE
State : FL
Zip : 32256-9664
Country : US
Telephone Number : 904-330-1024
Fax Number : 904-330-1027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 08/04/2016

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Directions to “ DR. GREGORY CHARLES TOMLINSON MD” Practice Location

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