Individual
CARL C GILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 SE 3RD AVE, THIRD FLOOR, FORT LAUDERDALE, FL 33316
(954) 355-5401
(954) 831-2773
Mailing address
PO BOX 862851, ORLANDO, FL 32886-2851
(954) 847-4273
(954) 847-4245
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME51949
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME51949
FL
Other
Enumeration date
04/20/2006
Last updated
09/11/2025
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