Individual
WALTER FRANK GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
37 N ORANGE AVE, SUITE 500, ORLANDO, FL 32801-2449
(407) 926-4124
(407) 926-4121
Mailing address
37 N ORANGE AVE, SUITE 500, ORLANDO, FL 32801-2449
(407) 926-4124
(407) 926-4121
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
300562397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153000
—
FL
Enumeration date
08/02/2011
Last updated
08/02/2011
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