Gary Glen Soud is a Pediatrics in Jacksonville, Florida. Gary Glen Soud practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gary Glen Soud is 1992746283. The last update date is 2015-02-03.
Gary Glen Soud's current location address is Po Box 40767, Jacksonville, Florida. You can contact this provider via phone number 9043763707 and fax number 9043915807. The mailing address for Gary Glen Soud is Po Box 40767, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Glen Soud |
|---|---|
| Address | Po Box 40767, Jacksonville, Florida |
| Phone Number | 9043763707 |
| Fax Number | 9043915807 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992746283 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2015-02-03 |
Provider Mailing Address Detail
| Address | Po Box 40767 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322030767 |
| Phone Number | 9043763707 |
| Fax Number | 9043915807 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME29971 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59637701 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gary Glen Soud by the Centers for Medicare & Medicaid Services?
The Gary Glen Soud has been issued the NPI (National Provider Identifier) 1992746283. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary Glen Soud's physical address?
The Gary Glen Soud is physically located at Po Box 40767, in the city of Jacksonville, FL, with the postal code 322030767.
What is Gary Glen Soud's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Glen Soud is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
When did Gary Glen Soud receive its 1992746283 assignment?
The Gary Glen Soud was assigned its 1992746283 on 2006-06-09, which is the date when this unique identifier was issued to the organization.
As of what date were the Gary Glen Soud's details last updated?
The information pertaining to the Gary Glen Soud, including its address, specialty, and other details, was most recently updated on 2015-02-03.