Gilead Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9283760 Issued in FL

Legal business name

GILEAD MEDICAL LLC

Practice address

1801 SE 24TH Rd
Ocala, FL 34471-6073

Phone

(352) 304-5990

Fax

(353) 304-5993

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tabitha Lanee Roberson, ARNP

Title

Owner

Phone

(352) 304-5990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320537600000",
    "number": "1437449592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SE 48TH PLACE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804911",
            "telephone_number": "352-304-5990",
            "fax_number": "352-304-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716073",
            "telephone_number": "352-304-5990",
            "fax_number": "353-304-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-11-06",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "LANEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-304-5990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9283760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2011; 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.