Individual
REBECA HELEN RAY-GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1580 WALDO PALMER LN STE 1A, TALLAHASSEE, FL 32308-6049
(850) 942-0096
Mailing address
3314 W PARK RD, HOLLYWOOD, FL 33021-4337
(954) 290-2406
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
NA
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4042
FL
Other
Enumeration date
07/06/2018
Last updated
03/15/2024
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