Gillmer, Melissa Jean

Gillmer, Melissa Jean is an sole proprietor health care provider with primary practice located at 784 Blanding Blvd Ste 108 , Orange Park FL 32065-7724. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Gillmer, Melissa Jean can be contacted via phone (904) 264-2636.

Contact Information

Primary practice address
784 Blanding Blvd Ste 108 Orange Park FL 32065-7724
Phone: (904) 264-2636
Fax: (904) 517-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8670 Florida

Profile Details

NPI number 1275523094
LBN Legal business name Gillmer, Melissa Jean
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Jun 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275523094 NPPES
Florida MEDICAID 891070700

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