Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | TRN24552 | FL |
N | 207R00000X | Internist | TRN24552 | FL |
N | 111NI0900X | Internist | TRN24552 | FL |
NPI | 1003349499 |
---|---|
Provider Name | Laura Virginia Gil |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 01/09/2020 |