Individual
JANICE GALLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
805 COUNTY ROAD 466, LADY LAKE, FL 32746
(352) 674-9218
Mailing address
1207 GLENCREST DR, LAKE MARY, FL 32746-4304
(828) 551-6999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03437
NC
363A00000X
Physician Assistant
5416
SC
363A00000X
Physician Assistant
Primary
PA 9106585
FL
Other
Enumeration date
03/25/2012
Last updated
10/10/2024
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