Individual
MRS. BEVERLY ELLEN GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5114
Mailing address
15512 SE 20TH AVE, HAWTHORNE, FL 32640-9238
(352) 481-5063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2740082
FL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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