Regina Ann Kollme Gargus in Jacksonville - Developmental - Behavioral Pediatrics
Regina Ann Kollme Gargus - NPI 1962579474
Regina Ann Kollme Gargus is a Developmental - Behavioral Pediatrics in Jacksonville, Florida. Regina Ann Kollme Gargus practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Regina Ann Kollme Gargus is 1962579474. The last update date is 2019-10-24.
Regina Ann Kollme Gargus's current location address is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. You can contact this provider via phone number 9044506014 and fax number 9044506401. The mailing address for Regina Ann Kollme Gargus is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina Ann Kollme Gargus |
|---|---|
| Address | 4205 Belfort Rd Ste 4015, Jacksonville, Florida |
| Phone Number | 9044506014 |
| Fax Number | 9044506401 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962579474 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2019-10-24 |
Provider Mailing Address Detail
| Address | 4205 Belfort Rd Ste 4015 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322163623 |
| Phone Number | 9044506014 |
| Fax Number | 9044506401 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | E4444 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1962579474 | FL | NPI | |
| 21603200 | FL | -- | |
| 158026001 | AR | -- |
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What is the Regina Ann Kollme Gargus's 1962579474?
The Regina Ann Kollme Gargus's NPI (National Provider Identifier) Number is 1962579474. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Regina Ann Kollme Gargus?
The Regina Ann Kollme Gargus is physically situated at 4205 Belfort Rd Ste 4015, in the city of Jacksonville, state of FL, with the postal code 322163623.
What is the Regina Ann Kollme Gargus's specialty and taxonomy code?
The Regina Ann Kollme Gargus's specialty is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code is 2080P0006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962579474 to Regina Ann Kollme Gargus?
The Centers for Medicare & Medicaid Services originally issued the 1962579474 to Regina Ann Kollme Gargus on 2006-11-29.
As of what date were the Regina Ann Kollme Gargus's details last updated?
The information pertaining to the Regina Ann Kollme Gargus, including its address, specialty, and other details, was most recently updated on 2019-10-24.
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