Gilles, Jerry N
Gilles, Jerry N is an individual health care provider with primary practice located at 300 Se 17Th Street Suite 300, Fort Lauderdale FL 33316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Gilles, Jerry N can be contacted via phone (954) 468-3080.Contact Information
Primary practice address
300 Se 17Th Street Suite 300
Fort Lauderdale FL 33316
Phone: (954) 468-3080
Fax: (954) 468-3082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ME71247 | Florida |
Profile Details
| NPI number | 1891709630 |
|---|---|
| LBN Legal business name | Gilles, Jerry N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Feb 25th, 2014 - about 12 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 | 1891709630 | NPPES |
| Florida | MEDICAID | 2505274-00 |
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