Gilmer, William Lewis

Gilmer, William Lewis is an sole proprietor health care provider with primary practice located at 5111 S Ridgewood Ave Suite 104, Port Orange FL 32127-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gilmer, William Lewis can be contacted via phone (386) 256-1212.

Contact Information

Primary practice address
5111 S Ridgewood Ave Suite 104 Port Orange FL 32127-5169
Fax: (386) 256-1213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0111581 Florida

Profile Details

NPI number 1194961151
LBN Legal business name Gilmer, William Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2008
Last updated Mar 18th, 2016 - about 8 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 1194961151 NPPES
Florida MEDICAID 008424200

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