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Search › Florida › 208000000X

Kevin Niebaum, D.O

NPI 1760449383 · on the registry since 2006 · sole proprietor

Practice

Address
2080 Child St
Jacksonville, FL 32214
Phone
(904) 542-9703
Fax
(904) 542-9483
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida