Individual
DR. JONELL D GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1247 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4673
(863) 688-5604
(813) 662-3937
Mailing address
1247 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4673
(863) 688-5604
(813) 662-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620816900
—
FL
Enumeration date
09/12/2005
Last updated
07/08/2020
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