IndividualActive
Douglas Ogburn, PA
NPI 1629322706 · Medical Physician Assistant · Jacksonville, FL
Provider details
- NPI number
- 1629322706
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA9106950 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
858 Monument Rd
Suite a
Jacksonville, FL 32225
Phone: (904) 450-6600
Fax: (904) 450-6369
Approximate (ZIP-level) locationGet directions
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Registry dates
- Enumerated
- 2012-10-29
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.