Southeast Gynecologic Oncology Associates PA
NPI 1417905993ActiveOrganization· Obstetrics & Gynecology, Gynecologic Oncology· Jacksonville, FL
Obstetrics & Gynecology, Gynecologic Oncology in Jacksonville, Florida, registered in NPPES in May 2006. The authorized official on file is Brenda Davis, Administrator.
Overview
| NPI | 1417905993 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Jul 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology Primary | 207VX0201X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Obstetrics & Gynecology, Gynecologic Oncology providers in Jacksonville
- 1083153365
- 1639438088
- 1396794681
- 1619986932
- 1164866778
- 1467654368
- 1043600679
- 1629087549
- 1255382982
- 1689622284
- 1962495036
- 1811105372
All Obstetrics & Gynecology, Gynecologic Oncology providers in Florida →