Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Gilliam, HAS

Individual provider Specialist · NPI 1811231525

Fred Gilliam, HAS is a Specialist in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

742 N Volusia Ave
Orange City, FL 32763-4857
Phone: (386) 561-9496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AS4847 (FL)

Record details

NPI number1811231525
Entity typeIndividual (Type 1)
GenderMale
Credentials HAS
Sole proprietorNo
NPI enumeratedNovember 19, 2012
Last updated in NPPESMarch 14, 2014
Mailing address5680 Winona Trl, De Leon Springs, FL 32130-3613

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