Gilliard, Stephen Eric

Gilliard, Stephen Eric is an individual health care provider with primary practice located at 200 Avenue F Ne Ste 9118 , Winter Haven FL 33881-4131. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Gilliard, Stephen Eric can be contacted via phone (863) 292-4004.

Contact Information

Primary practice address
200 Avenue F Ne Ste 9118 Winter Haven FL 33881-4131
Phone: (863) 292-4004
Fax: (863) 292-4005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11007568 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11007538 Florida

Profile Details

NPI number 1942827969
LBN Legal business name Gilliard, Stephen Eric
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2020
Last updated Mar 28th, 2022 - about 2 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 1942827969 NPPES
Florida MEDICAID 109323700

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