Gibbons, Lori S

Gibbons, Lori S is an individual health care provider with primary practice located at 13100 Us Highway 1 , Sebastian FL 32958-3735. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gibbons, Lori S can be contacted via phone (772) 581-8900.

Contact Information

Primary practice address
13100 Us Highway 1 Sebastian FL 32958-3735
Phone: (772) 581-8900
Fax: (772) 581-4477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN3053802 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3053802 Florida

Profile Details

NPI number 1689804023
LBN Legal business name Gibbons, Lori S
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Oct 17th, 2023 - about last year

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 1689804023 NPPES
Florida MEDICAID 3577400

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