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Individual

BRIAN GIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
507 S ORANGE ST, NEW SMYRNA BEACH, FL 32168-7318
(386) 424-5181
(386) 424-5064
Mailing address
100 PINE CREEK TRL, ORMOND BEACH, FL 32174-3007

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29606
FL

Other

Enumeration date
01/28/2020
Last updated
01/28/2020
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