Organization
GILG PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JOHN GILG C.P. (PRESIDENT/CERTIFIED PROSTHETIST)
(850) 474-0414
Entity
Organization
Contact information
Practice address
87 W HOOD DR, PENSACOLA, FL 32534-3019
(850) 474-0414
(850) 474-0409
Mailing address
87 W HOOD DR, PENSACOLA, FL 32534-3019
(850) 474-0414
(850) 474-0409
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO26
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009202760
MEDICAID
AL
01
—
015967
VISTA
FL
05
—
021575900
—
FL
01
—
A567
HEALTHEASE - MEDICAID HMO
FL
01
—
A712
WELLCARE - MEDICARE HMO
FL
01
—
M2475
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/02/2006
Last updated
08/17/2018
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