Gill, Jonell D
Gill, Jonell D is an individual health care provider with primary practice located at 1247 Lakeland Hills Blvd , Lakeland FL 33805-4673. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gill, Jonell D can be contacted via phone (863) 688-5604.Contact Information
Primary practice address
1247 Lakeland Hills Blvd
Lakeland FL 33805-4673
Phone: (863) 688-5604
Fax: (813) 662-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3708 | Florida |
Profile Details
| NPI number | 1518952035 |
|---|---|
| LBN Legal business name | Gill, Jonell D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 8th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518952035 | NPPES |
| Florida | MEDICAID | 620816900 |
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