Organization Active NPI

Drucker and Gaillard, P.a.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1669407813
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DRUCKER AND GAILLARD, P.A.
Doing business as
Family Practice Center
Practice address
8837 Goodbys Executive Dr
Jacksonville, FL 32217
Phone
(904) 731-7650
Fax
(904) 448-0370
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Philip Porcher Gaillard III, MD
Title
President
Phone
(904) 731-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8837 Goodbys Executive Dr
Jacksonville, FL 32217

Mailing address

8837 Goodbys Executive Dr
Jacksonville, FL 32217
Phone (904) 731-7650

Other names 1

  • Family Practice Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1669407813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32217",
            "telephone_number": "904-731-7650",
            "fax_number": "904-448-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32217",
            "telephone_number": "904-731-7650",
            "fax_number": "904-448-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUCKER AND GAILLARD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "GAILLARD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "PORCHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-731-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Center",
            "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 Feb 12, 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.

Verify at the official NPI Registry.