Douglas R. Ogburn PA
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Douglas Rayfield Ogburn PA
NPI Number
1629322706
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/29/2012
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9106950
Contact
Information
Purpose
Mailing
Location
Address
4205 BELFORT RD STE 4015
858 MONUMENT RD
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32216-3623
32225
Country
US
US
Telephone Number
(904) 396-6620
(904) 450-6600
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/24/2018