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SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES PA
NPI 1417905993
Obstetrics & Gynecology - Gynecologic Oncology in Jacksonville, FL

Active since May 05, 2006
915 W MONROE ST, #300, JACKSONVILLE, FL 32204(904) 389-3993(904) 389-3994 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Gynecologic Oncology Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES PA (NPI 1417905993) is a healthcare organization registered as a gynecologic oncology in Jacksonville, Florida and active in the NPI registry since May 2006. The organization lists Brenda Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417905993
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameSOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES PA
Location Address915 W MONROE ST, #300Jacksonville, FL 32204-1149
Mailing Address915 W Monroe St, #300Jacksonville, FL 32204-1149 · (904) 389-3993 · Fax (904) 389-3994
Phone(904) 389-3993
Fax(904) 389-3994
Organization SubpartNo
Authorized OfficialBrenda DavisAdministrator · (904) 389-3993
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 1, 2008
✔ NPI 1417905993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
915 W MONROE ST, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN45542FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUVAL VASCULAR CENTER, LLC
Clinic/Center (Medical Specialty)
915 W MONROE ST, SUITE 100
JACKSONVILLE, FL 32204
Duval County (904) 518-1398
NORTH EAST FLORIDA ENDOCRINE DIABETES
Nurse Practitioner
915 W MONROE ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
KRISTEN MIA STEWART M.D.
Dermatology
915 W MONROE ST, 101
JACKSONVILLE, FL 32204
Duval County (904) 903-4345
ANDREA KESSLER PA-C
Physician Assistant
915 W MONROE ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
DR. MELISSA STEPHANIE ROFFMAN PH.D.
Psychologist (Counseling)
915 W MONROE ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
ANGEL COFFEY APRN
Nurse Practitioner
915 W MONROE ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
DR. LORRAINE H DAJANI M.D.
Specialist
915 W MONROE ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
LINDSEY MARIE LYBARGER
Family Medicine
915 W MONROE ST
JACKSONVILLE, FL 32204
Duval County (904) 353-8562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Gynecologic Oncology Associates PA's NPI number?

The NPI number for Southeast Gynecologic Oncology Associates PA is 1417905993. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Southeast Gynecologic Oncology Associates PA located?

Southeast Gynecologic Oncology Associates PA is located at 915 W Monroe St #300, Jacksonville, FL 32204. The listed phone number is (904) 389-3993.

What is Southeast Gynecologic Oncology Associates PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Southeast Gynecologic Oncology Associates PA was last updated on July 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.