Healthcare Provider Details

I. General information

NPI: 1629654066
Provider Name (Legal Business Name): MARLEE MARIE GIL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2438 FOGARTY AVE
KEY WEST FL
33040-3812
US

IV. Provider business mailing address

2438 FOGARTY AVE
KEY WEST FL
33040-3812
US

V. Phone/Fax

Practice location:
  • Phone: 305-615-5334
  • Fax: 305-390-3881
Mailing address:
  • Phone: 305-615-5334
  • Fax: 305-390-3881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT032216
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number36991
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: