Individual
PHILLIP GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
8900 N KENDALL DR, MIAMI, FL 33176-2197
(786) 266-4119
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9577984
FL
164W00000X
Licensed Practical Nurse
PN5185858
FL
Other
Enumeration date
02/15/2013
Last updated
10/02/2025
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