Provider Demographics
NPI:1326318908
Name:GILO, NORMA B (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:B
Last Name:GILO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 SAM MITCHELL DR
Mailing Address - Street 2:
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-3501
Mailing Address - Country:US
Mailing Address - Phone:850-773-6280
Mailing Address - Fax:850-773-6278
Practice Address - Street 1:4455 SAM MITCHELL DR
Practice Address - Street 2:
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-3501
Practice Address - Country:US
Practice Address - Phone:850-773-6280
Practice Address - Fax:850-773-6278
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27414207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine