Male or Other

Dr. Jason R. Gandre MD

Internal Medicine Physician in Jacksonville, FL(View on Map)

Full Name

Dr. Jason Robert Gandre MD

NPI Number

1134740285

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/29/2020

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME161347

Contact
Information

Purpose

Mailing
Location

Address

17 DAVIS BLVD STE 308
3901 UNIVERSITY BLVD S

City

Tampa
Jacksonville

State

FL
FL

Postal Code

33606-3438
32216-4312

Country

US
US

Telephone Number

N/A
(904) 732-6300

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/13/2024

Provider Address

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