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Organization

TRI-COUNTY INFECTIOUS DISEASE

Active
Other names
Tri-County Infectious Disease Consultants, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHEILA GILLIKIN MD (OPERATIONS MANAGER)
(352) 633-0215
Entity
Organization

Contact information

Practice address
910 OLD CAMP RD, SUITE 130, THE VILLAGES, FL 32162-5609
(352) 633-0215
(352) 633-0219
Mailing address
1576 BELLA CRUZ DRIVE, SUITE 336, THE VILLAGES, FL 32159-8969
(352) 633-0215
(352) 633-0219

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001364700
FL
Enumeration date
08/05/2009
Last updated
08/21/2013
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