Gibson, Walter Frank

Gibson, Walter Frank is an sole proprietor health care provider with primary practice located at 37 N Orange Ave Suite 500, Orlando FL 32801-2449. He recently has only one registered license in Agencies / In Home Supportive Care, which is considered as his primary health care specialty. Gibson, Walter Frank can be contacted via phone (407) 926-4124.

Contact Information

Primary practice address
37 N Orange Ave Suite 500 Orlando FL 32801-2449
Fax: (407) 926-4121
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 300562397 Florida

Profile Details

NPI number 1548548928
LBN Legal business name Gibson, Walter Frank
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Aug 2nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548548928 NPPES
Florida MEDICAID 003153000

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