Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southeast Gynecologic Oncology Associates PA

Organization Gynecologic Oncology Physician · NPI 1417905993

Southeast Gynecologic Oncology Associates PA provides Gynecologic Oncology Physician services in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 W Monroe St #300
Jacksonville, FL 32204-1149 Not confirmed with CMS for 18 years — call before visiting
Phone: (904) 389-3993
Fax: (904) 389-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1417905993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Davis — Administrator · (904) 389-3993
NPI enumeratedMay 5, 2006
Last updated in NPPESJuly 1, 2008
Mailing address915 W Monroe St, 300, Jacksonville, FL 32204-1149

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