Dr. Edward Roger Gillett
Family Doctor Family Doctor - Sports Medicine
700 6th St S
St Petersburg
, Florida 33701-4815
Dr. Edward Roger Gillett
Family Doctor Family Doctor - Sports Medicine
700 6th St S
St Petersburg
, Florida 33701-4815
(877) 814-8601
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Edward Roger Gillett
- 1636 72nd Ave Ne
- St Petersburg, FL
- Zip : 33702-4600
- Fax : (877) 814-8601
- Phone : (813) 890-6215
Second Address
- Dr. Edward Roger Gillett
- 700 6th St S
- St Petersburg, FL
- Zip : 33701-4815
- Fax : (727) 553-7340
- Phone : (727) 893-6197
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | ME-68481 | FL |
| N | 207QS0010X | Family Doctor - Sports Medicine | ME68481 | FL |
National Provider Identifier
| NPI | 1245219633 |
|---|---|
| Provider Name | Dr. Edward Roger Gillett |
| First Address | St Petersburg, FL 33702-4600 |
| Second Address | St Petersburg, FL 33701-4815 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 27/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 379349400 | (05) | FL |
| E47197 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.