Individual
MS. GLADYS A GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 SAND MOUNTAIN RD, FORT MEADE, FL 33841-3201
(863) 605-8295
Mailing address
1080 CYPRESS PKWY # 1144, KISSIMMEE, FL 34759-3328
(863) 605-8295
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
FL
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000309700
—
FL
05
—
000630100
—
FL
05
—
002313600
—
FL
05
—
002313900
—
FL
05
—
002536200
—
FL
Enumeration date
02/17/2011
Last updated
05/01/2024
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