| Doctor Name: | JAMES R GILDENSTON |
| NPI Number: | 1114142635 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO 842 |
| Business Practice Address: | 1620 Nectarine St Fernandina Beach, FL - 320344724 |
| Business Phone Number: | 9045481860 |
| Business Fax Number: | 9042777283 |
| Mailing Address: | Po Box 517, FERNANDINA BEACH |
| State: | FL |
| Postal Code: | 320350517 |
| Phone Number: | 9045481800 |
| Fax Number: | 9042777286 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP0504X |
| License Number: | PO 842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Public Medicine |
| Taxonomy Definition: | |