Individual
ERICA J GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10879 CORAL SHORES DR UNIT 10, JACKSONVILLE, FL 32256-2126
(813) 479-5052
Mailing address
10895 CORAL SHORES DR UNIT 310 BLDG 7, JACKSONVILLE, FL 32256-2126
(813) 479-5052
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
378952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117611600
—
FL
Enumeration date
02/11/2022
Last updated
03/18/2024
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