Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | ME0058403 | FL |
Y | 207RI0200X | Infectious Disease | ME58403 | FL |
NPI | 1083786966 |
---|---|
Provider Name | Sheila Gillikin |
First Address | The Villages, FL 32159-8969 |
Second Address | The Villages, FL 32162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 09/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11775 | BCBS (01) | FL |
11775Z | (02) | |
370138700 | (05) | FL |
E37088 | (02) |