DAVID GILLIS


Address: 110 Longwood Ave, Rockledge, FL 32955-2828
Phone: 8004768646

DAVID GILLIS (NPI# 1205886991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205886991
Entity Type Individual
Full Name DAVID GILLIS
Credential DO
Practice Address 110 Longwood Ave
Rockledge
FL 32955-2828
Mailing Address Po Box 30731
Tampa
FL 33630-3731
Practice Telephone 8004768646
Practice Fax Number 9193823210
Mailing Telephone 8004768646
Mailing Fax Number 9193823210
Enumeration Date 2006-05-11
Last Update Date 2008-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
OS9767 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 41677 01
FL 275001500 05

Other Providers DAVID GILLIS

NPI Name Taxonomy Address Enumeration
1811308976 David J Gillis Counselor 9266 Wilderness Glen Ave, Las Vegas, NV 89178-3502 2014-05-12
1487867321 David Anthony Gillis Physical Therapist 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 2007-05-07
1528023645 David Rod Gillis Physician Assistant 1600 S Andrews Ave, Atrium Bldg 1st Floor, Fort Lauderdale, FL 33316 2006-04-20

Office Location

Street Address 110 LONGWOOD AVE
City ROCKLEDGE
State FL
Zip Code 32955-2828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831192244 Wuesthoff Emergency Physicians Pa Emergency Medicine 110 Longwood Ave, Rockledge, FL 32955-2828 2005-05-31
1962011809 Sydney Bovender Dietitian, Registered 110 Longwood Ave, Rockledge, FL 32955-2828 2020-07-27
1235663899 Steward Rockledge Hospital, Inc. Psychiatric Unit 110 Longwood Ave, Rockledge, FL 32955-2828 2017-04-20
1437682127 Steward Rockledge Hospital, Inc. Psychiatric Unit 110 Longwood Ave, Rockledge, FL 32955-2828 2017-04-10
1306200522 Rockledge Emergency Group LLC Physician Assistant 110 Longwood Ave, Rockledge, FL 32955-2828 2016-04-13
1538523295 Rockledge Physician Services, LLC Physician Assistant 110 Longwood Ave, Rockledge, FL 32955-2828 2016-04-08
1497111983 Infectious Diseases Specialist of Brevard LLC Internal Medicine 110 Longwood Ave, Rockledge, FL 32955-2828 2016-01-13
1679943740 John Wesley Rothwell IIi Nurse Practitioner 110 Longwood Ave, Rockledge, FL 32955-2828 2015-10-02
1922484104 Lucas Marlatt Nurse Practitioner 110 Longwood Ave, Rockledge, FL 32955-2828 2015-08-10
1447631049 Ioana Workman Pharmacist 110 Longwood Ave, Rockledge, FL 32955-2828 2015-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169571 Health First Medical Group LLC Orthopaedic Surgery 6525 3rd Street, #302, Rockledge, FL 32955 2020-09-23
1063037810 Endo Now LLC Internal Medicine 5460 Village Drive,viera, Rockledge, FL 32955 2020-06-08
1588285100 Enrique Technologies & Trading, LLC Meals 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 2020-05-05
1578101549 Ericka Marshall Counselor 7095 Turner Road, Rockledge, FL 32955 2019-12-20
1174168322 Brevard Pharmacy L.L.C. Pharmacy 401. Barton Blvd., Rockledge, FL 32955 2019-11-12
1770131443 Fyzical Therapy & Balance Center Rockledge-viera Clinic/Center 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 2019-08-27
1699261461 Brookview Manor Assisted Living Facility LLC Assisted Living Facility 882 Brookview Ln, Rockledge, FL 32955 2018-07-05
1750888970 Kaitlin Donovan Dentist 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 2018-04-13
1376041327 Serina Eder Acupuncturist 5595 Schenck Ave Ste 7, Rockledge, FL 32955 2018-01-24
1427563394 Suntree Orthopedics, LLC Orthopaedic Surgery 6525 3rd St Ste 302-303, Rockledge, FL 32955 2017-12-13
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982224259 Excalibur Telemedical Services Emergency Medicine 405 Waterford Ln, Gulf Breeze, FL 32561-4872 2020-04-16
1225694953 Good Care Rehab& Wellness Inc Emergency Medicine 885 N Powers Dr Ste B, Orlando, FL 32818-6842 2019-05-17
1568994556 Hillard L Chemers Emergency Medicine 16145 Craigend Pl, Odessa, FL 33556-2818 2017-03-30
1790195469 Albert Carl Maier Emergency Medicine 358 County Road 207a, East Palatka, FL 32131-4145 2014-05-05
1710319413 Holy Cross Hospital, Inc Emergency Medicine 1115 S Federal Hwy, Ft Lauderdale, FL 33316-1256 2013-08-05
1790035921 Elizabeth Hernandez Emergency Medicine 17121 Sw 281st St, Homestead, FL 33030-1905 2012-09-14
1821377201 Urgent Care Physicians of Kendale Lakes LLC Emergency Medicine 14661 Sw 56 Street, Miami, FL 33175 2011-08-16
1316231608 George T Besong Md Ob/gyn LLC Emergency Medicine 2728 Enterprise Rd, Suite 200, Orange City, FL 32763-8276 2011-06-03
1265662126 Quick Care Med LLC Emergency Medicine 1907 Highway 44 W, Inverness, FL 34453-3801 2009-07-24
1578705273 Laurie Ann Romig Emergency Medicine 8250 32nd Ave N, St Petersburg, FL 33710-2212 2009-03-27
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Competitor

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City ROCKLEDGE
Zip Code 32955

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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