Individual
DR. MICHAEL S. GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 KINGSLEY AVE, SUITE 503, ORANGE PARK, FL 32073-9207
(904) 278-5088
(904) 264-4910
Mailing address
11945 SAN JOSE BLVD., BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME53014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020032009
RAILROAD MEDICARE
FL
01
—
0447391
CIGNA
—
01
—
05911
BCBS FL
—
01
—
204077
AVMED
—
01
—
4045261
AETNA
—
Enumeration date
05/04/2006
Last updated
07/22/2011
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