Gilles, Jerry N

Gilles, Jerry N is an individual health care provider with primary practice located at 300 Se 17Th Street Suite 300, Fort Lauderdale FL 33316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Gilles, Jerry N can be contacted via phone (954) 468-3080.

Contact Information

Primary practice address
300 Se 17Th Street Suite 300 Fort Lauderdale FL 33316
Phone: (954) 468-3080
Fax: (954) 468-3082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME71247 Florida

Profile Details

NPI number 1891709630
LBN Legal business name Gilles, Jerry N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 25th, 2014 - about 10 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 1891709630 NPPES
Florida MEDICAID 2505274-00

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