Gilmore, Shauna

Gilmore, Shauna is an sole proprietor health care provider with primary practice located at 8718 Fort Socrum Village Pl , Lakeland FL 33810-0332. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Gilmore, Shauna can be contacted via phone (863) 738-2269.

Contact Information

Primary practice address
8718 Fort Socrum Village Pl Lakeland FL 33810-0332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Florida

Profile Details

NPI number 1376015800
LBN Legal business name Gilmore, Shauna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2018
Last updated Dec 21st, 2018 - about 6 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 1376015800 NPPES
Florida MEDICAID 017961000

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