Individual
DAVID GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1111
Mailing address
PO BOX 30731, TAMPA, FL 33630-3731
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020-04327
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OS9767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275001500
—
FL
01
—
41677
BCBS
FL
Enumeration date
05/11/2006
Last updated
06/14/2021
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