Doctor Name: | DEBORAH LYNN GILMORE |
NPI Number: | 1104248251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9213456 |
Business Practice Address: | 1005 Mar Walt Drive Pulmonology Department Fort Walton Beach, FL - 325476796 |
Business Phone Number: | 8502430118 |
Business Fax Number: | 8502430594 |
Mailing Address: | 1005 Mar Walt Drive, Pulmonology Department FORT WALTON BEACH |
State: | FL |
Postal Code: | 325476796 |
Phone Number: | 8502430118 |
Fax Number: | 8502430594 |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP9213456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |