Gilmore, Stephen R

Gilmore, Stephen R is an individual health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gilmore, Stephen R can be contacted via phone (850) 863-7607.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 863-7607
Fax: (205) 437-5998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME82778 Florida

Profile Details

NPI number 1427016732
LBN Legal business name Gilmore, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 6th, 2009 - about 15 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 1427016732 NPPES
Florida Other 78881 BCBS PROVIDER NUMBER
Florida Other P00723096 BCBS PROVIDER NUMBER
Florida Other 059187377 BCBS PROVIDER NUMBER
Florida Other 059189324 BCBS PROVIDER NUMBER
Florida MEDICAID 269107800 BCBS PROVIDER NUMBER

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