Provider Demographics
NPI:1326114752
Name:FOX, GILL M (PT)
Entity Type:Individual
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First Name:GILL
Middle Name:M
Last Name:FOX
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Gender:M
Credentials:PT
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Mailing Address - Street 1:6245 N FEDERAL HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1998
Mailing Address - Country:US
Mailing Address - Phone:954-957-7171
Mailing Address - Fax:954-745-0501
Practice Address - Street 1:4925 SHERIDAN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2834
Practice Address - Country:US
Practice Address - Phone:954-981-3850
Practice Address - Fax:954-981-3814
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLPT19069208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation