Individual
MS. JACINTA IRENE GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8005 KAUREEN GARDEN PL, TAMPA, FL 33615-1695
(813) 412-6345
Mailing address
8005 KAUREEN GARDEN PL, TAMPA, FL 33615-1695
(813) 412-6345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
355955
TN
208M00000X
Hospitalist Physician
Primary
ME 99298
FL
Other
Enumeration date
06/08/2006
Last updated
08/31/2007
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