Individual
DR. HOWARD GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
791 BOULEVARD OF THE CHAMPIONS, SHALIMAR, FL 32579-2241
(850) 651-5501
Mailing address
791 BOULEVARD OF THE CHAMPIONS, SHALIMAR, FL 32579-2241
(850) 651-5501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42217
VA
Other
Enumeration date
10/19/2006
Last updated
07/21/2022
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