Individual
MRS. NATALIE A GILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15901 BASS RD, SUITE 108, FORT MYERS, FL 33908
(239) 343-9890
(239) 343-9898
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME127481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017542100
—
FL
Enumeration date
03/22/2011
Last updated
03/25/2021
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