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
Phone: (386) 256-1212
Fax: (386) 256-1213
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194961151 | NPPES |
Florida | MEDICAID | 008424200 |
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