Individual
DR. ELIJAH MALIK GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
16228 STATE ROAD 54, ODESSA, FL 33556-3729
(813) 475-5599
(813) 565-9236
Mailing address
6007 EMBASSY CT, MONROE, NC 28110-8071
(678) 709-9210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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