Individual
DR. WILLIAM LEWIS GILMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5111 S RIDGEWOOD AVE, SUITE 104, PORT ORANGE, FL 32127-5169
(386) 256-1212
(386) 256-1213
Mailing address
5111 S RIDGEWOOD AVE, SUITE 104, PORT ORANGE, FL 32127-5169
(386) 256-1212
(386) 256-1213
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0111581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008424200
—
FL
Enumeration date
12/22/2008
Last updated
03/18/2016
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