Healthcare Provider Details

I. General information

NPI: 1538012968
Provider Name (Legal Business Name): ANNIE GIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 OVERLAND DR
SPRING HILL FL
34608-7477
US

IV. Provider business mailing address

1514 OVERLAND DR
SPRING HILL FL
34608-7477
US

V. Phone/Fax

Practice location:
  • Phone: 502-424-4325
  • Fax:
Mailing address:
  • Phone: 502-424-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11045801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: