Individual
GUILENE DAVILMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1223 GATEWAY DR STE 2A, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-3124
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1981
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3265502
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP3265502
FL
363LF0000X
Family Nurse Practitioner
3265502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024548500
—
FL
01
—
PENDING
MEDICARE
FL
Enumeration date
07/07/2017
Last updated
04/27/2018
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