Individual
BEVERLY JOAN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL 33637-0904
(813) 871-8200
(813) 357-5501
Mailing address
12470 TELECOM DR, STE 300W, TEMPLE TERRACE, FL 33637-0904
(813) 871-8183
(813) 871-8184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9187358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100602300
—
FL
01
—
3010863
LICENSE
KY
Enumeration date
07/17/2015
Last updated
05/07/2020
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