Provider Demographics
NPI:1326827569
Name:GIL A CU MD LLC
Entity Type:Organization
Organization Name:GIL A CU MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:ASUNCION
Authorized Official - Last Name:CU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-228-7239
Mailing Address - Street 1:10150 BELLE RIVE BLVD UNIT 602
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9589
Mailing Address - Country:US
Mailing Address - Phone:904-228-7239
Mailing Address - Fax:800-747-3061
Practice Address - Street 1:15255 MAX LEGGETT PKWY STE 5000
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-7274
Practice Address - Country:US
Practice Address - Phone:904-228-7239
Practice Address - Fax:800-747-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty