Organization
GILL FAMILY MEDICINE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY GILL D.O. (OWNER)
(941) 484-1600
Entity
Organization
Contact information
Practice address
425 COMMERCIAL CT STE 112, VENICE, FL 34292-1642
(941) 484-1600
(941) 484-1644
Mailing address
425 COMMERCIAL CT STE 112, VENICE, FL 34292-1642
(941) 484-1600
(941) 484-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8937
FL
Other
Enumeration date
01/16/2008
Last updated
05/14/2008
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