Gill, Stephen Boyd
Gill, Stephen Boyd is an individual health care provider with primary practice located at 2349 Village Square Pkwy Ste 110 Credentialing Department, Fleming Island FL 32003-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gill, Stephen Boyd can be contacted via phone (904) 264-6404.Contact Information
Primary practice address
2349 Village Square Pkwy Ste 110 Credentialing Department
Fleming Island FL 32003-4319
Phone: (904) 264-6404
Fax: (904) 264-6884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME37009 | Florida |
Profile Details
| NPI number | 1871521906 |
|---|---|
| LBN Legal business name | Gill, Stephen Boyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 24th, 2018 - about 7 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 | 1871521906 | NPPES |
| Florida | MEDICAID | 268474800 | |
| Florida | Other | P00464116 |
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