Individual
MEGAN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3600 WASHINGTON ST, HOLLYWOOD, FL 33021-8216
(954) 294-9635
Mailing address
1001 S NORTHLAKE DR, HOLLYWOOD, FL 33019-1314
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9481840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9481840
REGISTERED NURSE ID
FL
Enumeration date
06/24/2021
Last updated
06/24/2021
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