Gilmore, Shauna
Gilmore, Shauna is an sole proprietor health care provider with primary practice located at 8718 Fort Socrum Village Pl , Lakeland FL 33810-0332. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Gilmore, Shauna can be contacted via phone (863) 738-2269.Contact Information
Primary practice address
8718 Fort Socrum Village Pl
Lakeland FL 33810-0332
Phone: (863) 738-2269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | Florida |
Profile Details
| NPI number | 1376015800 |
|---|---|
| LBN Legal business name | Gilmore, Shauna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2018 |
| Last updated | Dec 21st, 2018 - about 8 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 | 1376015800 | NPPES |
| Florida | MEDICAID | 017961000 |
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