Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME59955 | FL |
NPI | 1013907807 |
---|---|
Provider Name | Dr. William Wilcher Ginsburg |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 08/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14279 | BLUECROSS/BLUESHIELD (01) | FL |
660000476 | RAILROAD MEDICARE (01) | FL |
D81645 | (02) | FL |