Dr. Gary Glen Soud , MD
Pediatrics • Jacksonville, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Soud has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Soud, MD was a registered Pediatrics practicing in Jacksonville, FL. Throughout an active medical career spanning 18 years, Dr. Soud provided care at the practice location at 14810 OLD SAINT AUGUSTINE RD STE 106 until profile deactivation on 2024-07-17.
Practice Location & Contact Primary Location
14810 Old Saint Augustine Rd Ste 106
Credentialing Department
Jacksonville, FL 322582558
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Jacksonville, FL
Practicing in Jacksonville, FL (4160 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 17, 2024
NPI status registered as active in NPPES database
Registered at 14810 OLD SAINT AUGUSTINE RD STE 106, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 322582558 (Tel: 9042687701)
Registered at PO BOX 40767, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 322030767 (Tel: 9043763707)
Recorded as GARY SOUD, MD
Pediatrics (License #ME29971 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 40767, Credentialing Department
Jacksonville, FL 322030767
Phone: 9043763707
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