Anthony O. Godboldt MD
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Anthony O Godboldt MD
NPI Number
1366437782
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/12/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME41237
Contact
Information
Purpose
Mailing
Location
Address
2165 HERSCHEL ST
1800 BARRS ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32204-3819
32204-4704
Country
US
US
Telephone Number
(904) 387-4030
(904) 387-4030
Identifiers
Identifier
0336058B
02208
Identifier State
GA
FL
Identifier Issuer
Unknown
BLUE CROSS BLUE SHIELD
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007