Gill Family Medicine PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8937 Issued in FL

Legal business name

GILL FAMILY MEDICINE PL

Practice address

425 Commercial CT Ste 112
Venice, FL 34292-1642

Phone

(941) 484-1600

Fax

(941) 484-1644

NPI assigned

Jan 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stacey Gill, D.O.

Title

Owner

Phone

(941) 484-1600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1346426632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COMMERCIAL CT STE 112",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921642",
            "telephone_number": "941-484-1600",
            "fax_number": "941-484-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COMMERCIAL CT STE 112",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921642",
            "telephone_number": "941-484-1600",
            "fax_number": "941-484-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL FAMILY MEDICINE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-484-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Gero, MD
• Shohreh Ghassemi, DDS, MS
• Louis S. Giannone, D.P.M.
• Brian C Gibson, DC
• Kelly Christine Gignac, CRNA
• Billie W. Gimenez, LMFT
• Jessica June Ginter, DDS
• Maria Mercedes Giol, LMHC
• Guruswami Giri, M.D.
• Glasses RX, LLC

• Family Medicine Physician in Venice, FL
• Providers in Venice, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.