Individual
DR. JAKE LEY GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17900 NW 5TH ST STE 102, PEMBROKE PINES, FL 33029-2809
(954) 367-4000
Mailing address
7230 TAFT ST, HOLLYWOOD, FL 33024-5430
(954) 907-3182
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
39611
FL
Other
Enumeration date
11/21/2022
Last updated
01/12/2023
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