Marquisa Denise Gillard

Individual provider Developmental Disabilities Clinic/Center · NPI 1700440666

Marquisa Denise Gillard is a Developmental Disabilities Clinic/Center in Fruitland Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in: FL
In the registry since: 2019
Specialties on file: 2

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Practice location Address checks out

217 E Mirror Lake Dr Apt A
Fruitland Park, FL 34731-3274
Phone: (352) 504-9261

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

Specialties & licences

Developmental Disabilities Clinic/Center (primary)	Taxonomy 261QD1600X
Developmental Disabilities Clinic/Center	Taxonomy 261QD1600X (FL)

Record details

NPI number	1700440666
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	April 25, 2019
Last updated in NPPES	April 25, 2019