Active NPI
Jane S Gibson, PHD
- Clinical Molecular Genetics Physician
- Orlando, FL
National Provider Identifier
1346415577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- D130551
- Practice address
- 8150 Chancellor Dr
Suite 110
Orlando, FL 32809-7691 - Phone
- (407) 587-4243
- Fax
- (407) 251-5053
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 207SG0203X | D130551 | FL | Primary |
Addresses
Primary practice location
8150 Chancellor Dr
Suite 110
Orlando, FL 32809-7691
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (800) 330-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D130551 | FL | MD | Clinical Molecular Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1346415577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "SUITE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184204",
"telephone_number": "800-330-6565",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 CHANCELLOR DR",
"address_2": "SUITE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097691",
"telephone_number": "407-587-4243",
"fax_number": "407-251-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JANE",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "FL",
"license": "D130551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.