Provider Demographics
NPI:1235243833
Name:GILLETTE WHEELCHAIR ENGINEERS INC.
Entity Type:Organization
Organization Name:GILLETTE WHEELCHAIR ENGINEERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RON
Authorized Official - Last Name:GILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-438-7300
Mailing Address - Street 1:3936 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2746
Mailing Address - Country:US
Mailing Address - Phone:850-438-7300
Mailing Address - Fax:850-438-7355
Practice Address - Street 1:3936 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2746
Practice Address - Country:US
Practice Address - Phone:850-438-7300
Practice Address - Fax:850-438-7355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR3933OtherBLUECROSS BLUE SHIELD
0275060001Medicare ID - Type Unspecified