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Stephen Gilliam
NPI 1295062255 · on the registry since 2009
Practice
- Address
- 917 Beville Rd
Suite G
South Daytona, FL 32119 - Phone
- (386) 756-4395
- Fax
- (866) 426-2811
- Organisation at this address
- Loads Of Smiles, Llc
R&S United Health Servies LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida