Healthcare Provider Details

I. General information

NPI: 1821584327
Provider Name (Legal Business Name): BARBARA JEAN GILES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2018
Last Update Date: 07/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11357 SILVERWOOD CT
SPRING HILL FL
34609-9154
US

IV. Provider business mailing address

11357 SILVERWOOD CT
SPRING HILL FL
34609-9154
US

V. Phone/Fax

Practice location:
  • Phone: 352-232-0311
  • Fax:
Mailing address:
  • Phone: 352-232-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07180797
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: