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Individual

PHLISIDA L GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HHA,CMA

Contact information

Practice address
5004 SAVANNAH RIVER WAY APT 218, ORLANDO, FL 32839-5070
(321) 420-3612
Mailing address
5004 SAVANNAH RIVER WAY APT 218, ORLANDO, FL 32839-5070
(321) 420-3612

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2022208P
FL

Other

Enumeration date
10/09/2023
Last updated
05/16/2025
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