Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME36646 | FL |
NPI | 1154402212 |
---|---|
Provider Name | Ann A Ashley Gilbert |
First Address | Altamonte Springs, FL 32701-5426 |
Second Address | Altamonte Springs, FL 32701-5426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 25/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59293 | BCBS (01) | FL |
D86117 | (02) | FL |