IndividualActive
Gary Proctor, M.D.
NPI 1952308181 · Forensic Psychiatry Physician · Jacksonville, FL
Provider details
- NPI number
- 1952308181
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- ME 71703 (FL)
Practice location
10199 Southside Blvd
Bld 100 Suite 300
Jacksonville, FL 32256-0758
Phone: (800) 700-8646
Mailing address
140 Crosstide Cir
Ponte Vedra Beach, FL 32082-4028
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.