Individual
LAUREN MICHELLE GILLESPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 290-3720
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8391
WI
363AM0700X
Medical Physician Assistant
Primary
9115095
FL
Other
Enumeration date
11/02/2021
Last updated
06/30/2025
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