Individual
MRS. MINDY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
120 DEER RIDGE RD, BRANDON, MS 39042-9708
(601) 720-3003
Mailing address
1525 WEST CYPRESS ROAD, FORT LAUDERDALE, FL 33309
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
905228
MS
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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