Organization Active NPI

GSW Clinic, LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1003126574
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GSW CLINIC, LLC
Practice address
3728 Phillips Hwy
Suite 13
Jacksonville, FL 32207-9300
Phone
(904) 477-4480
Fax
(904) 683-5619
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Steven Webb, M.D.
Title
Primary Member
Phone
(904) 477-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3728 Phillips Hwy
Suite 13
Jacksonville, FL 32207-9300

Mailing address

PO Box 47125
Jacksonville, FL 32247-7125
Phone (904) 477-4480

Other names 1

  • Physician's Health Center of Jacksonville Doing business as

National Provider Directory

National Provider Directory

Locations

3728 Philips Hwy
Ste 13
Jacksonville, FL 32207
Phone (904) 477-4480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1003126574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322477125",
            "telephone_number": "904-477-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILLIPS HWY",
            "address_2": "SUITE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079300",
            "telephone_number": "904-477-4480",
            "fax_number": "904-683-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSW CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRIMARY MEMBER",
        "authorized_official_telephone_number": "904-477-4480",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician's Health Center of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.