Gilliam, Fred

Gilliam, Fred is an individual health care provider with primary practice located at 742 N Volusia Ave , Orange City FL 32763-4857. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gilliam, Fred can be contacted via phone (386) 561-9496.

Contact Information

Primary practice address
742 N Volusia Ave Orange City FL 32763-4857
Phone: (386) 561-9496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AS4847 Florida

Profile Details

NPI number 1811231525
LBN Legal business name Gilliam, Fred
Credentials HAS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Mar 14th, 2014 - about 11 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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