Organization
C.&S. HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLY M JEAN-GILLES DNP (OWNER)
(772) 708-0256
Entity
Organization
Contact information
Practice address
4052 SW KADLIC ST, PORT ST LUCIE, FL 34953-5672
(772) 708-0256
(772) 361-7944
Mailing address
4052 SW KADLIC ST, PORT ST LUCIE, FL 34953-5672
(772) 708-0256
(772) 361-7944
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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