Gillum, Bethsaida Lopez

Gillum, Bethsaida Lopez is an individual health care provider with primary practice located at 2626 Capital Medical Blvd , Tallahassee FL 32308-4402. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gillum, Bethsaida Lopez can be contacted via phone (850) 325-5000.

Contact Information

Primary practice address
2626 Capital Medical Blvd Tallahassee FL 32308-4402
Phone: (850) 325-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9281898 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9281898 Florida

Profile Details

NPI number 1902189376
LBN Legal business name Gillum, Bethsaida Lopez
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Oct 10th, 2022 - about 4 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 1902189376 NPPES
Florida MEDICAID 0041333300

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