Individual
CHARLES GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17 DAVIS BLVD, TAMPA, FL 33606-3475
(813) 844-7000
Mailing address
17 DAVIS BLVD, TAMPA, FL 33606-3475
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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