Individual
DEBORAH LYNN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1005 MAR WALT DRIVE, PULMONOLOGY DEPARTMENT, FORT WALTON BEACH, FL 32547-6796
(850) 243-0118
(850) 243-0594
Mailing address
1005 MAR WALT DRIVE, PULMONOLOGY DEPARTMENT, FORT WALTON BEACH, FL 32547-6796
(850) 243-0118
(850) 243-0594
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9213456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010771700
—
FL
01
—
Y0L8F
BCBSFL
FL
Enumeration date
01/08/2014
Last updated
01/17/2017
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