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Fred Gilliam, HAS
Specialist in Orange City, Florida
NPI 1811231525

Fred Gilliam is a Specialist based in De Leon Springs, FL. Fred Gilliam practices in Orange City, FL and has the professional credentials of HAS. The NPI Number for Fred Gilliam is 1811231525 and holds a License No. AS4847 (Florida).

The current practice location address for Fred Gilliam is 742 N Volusia Ave, Orange City, FL and can be reached out via phone at 386-561-9496.

Location: 742 N Volusia Ave, Orange City, FL, 32130-3613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811231525
Provider Name
Fred Gilliam
Credential
HAS
Provider Entity Type
Individual
Gender
Male
Address
742 N Volusia Ave, Orange City, FL, 32130-3613
Phone Number
386-561-9496
Fax Number
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
742 N Volusia Ave
City
Orange City
State
Florida
Zip
32763-4857
Phone Number
386-561-9496
Fax Number
person
Provider Business Mailing Address Details
Address
742 N Volusia Ave
City
Orange City
State
Florida
Zip
32763-4857
Phone Number
386-561-9496
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AS4847 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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