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Individual

DR. PARMJIT KAUR GILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4304 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1647
(863) 644-9398
(863) 644-9354
Mailing address
125 LAKE REGION CIR, WINTER HAVEN, FL 33881-9549
(863) 446-1698
(863) 644-9354

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276229300
FL
01
56300
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
ME96413
MEDICAL DOCTOR LICENCE
FL
Enumeration date
08/01/2006
Last updated
08/19/2014
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