Edward Roger Gillett in St Petersburg - Family Medicine
Edward Roger Gillett - NPI 1245219633
Edward Roger Gillett is a Family Medicine in St Petersburg, Florida. Edward Roger Gillett practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edward Roger Gillett is 1245219633. The last update date is 2008-07-27.
Edward Roger Gillett's current location address is 1636 72nd Ave Ne, St Petersburg, Florida. You can contact this provider via phone number 8138906215 and fax number 8778148601. The mailing address for Edward Roger Gillett is 1636 72nd Ave Ne, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Roger Gillett |
|---|---|
| Address | 1636 72nd Ave Ne, St Petersburg, Florida |
| Phone Number | 8138906215 |
| Fax Number | 8778148601 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245219633 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2008-07-27 |
Provider Mailing Address Detail
| Address | 1636 72nd Ave Ne |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337024600 |
| Phone Number | 8138906215 |
| Fax Number | 8778148601 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME-68481 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 379349400 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Edward Roger Gillett by the Centers for Medicare & Medicaid Services?
The Edward Roger Gillett has been issued the NPI (National Provider Identifier) 1245219633. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edward Roger Gillett?
The Edward Roger Gillett is situated at 1636 72Nd Ave Ne, in the city of St Petersburg, state of FL, with the zip code 337024600.
What is Edward Roger Gillett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Roger Gillett is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Edward Roger Gillett receive its 1245219633 assignment from the Centers for Medicare & Medicaid Services?
The Edward Roger Gillett was assigned its 1245219633 by the Centers for Medicare & Medicaid Services on 2006-01-13.
When was the Edward Roger Gillett's information last updated?
The Edward Roger Gillett's information was last updated on 2008-07-27.