Individual
MR. CORNELIUS TYRELL GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
587 SE ERMINE AVE, LAKE CITY, FL 32025-6126
(386) 752-7800
Mailing address
2242 NW 88TH ST, GAINESVILLE, FL 32606-9191
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
9541163
FL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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