Individual
MR. JAY MICHAEL GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3212 THACKERY WAY, PLANT CITY, FL 33566
(561) 389-3126
Mailing address
3212 THACKERY WAY, PLANT CITY, FL 33566
(561) 389-3126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA8834
FL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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