Provider Demographics
NPI:1417626128
Name:DUNDAS, GISELLE (RN)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:DUNDAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GISELLE
Other - Middle Name:
Other - Last Name:CLAIRMONT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 608354
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32860-8354
Mailing Address - Country:US
Mailing Address - Phone:407-900-4506
Mailing Address - Fax:
Practice Address - Street 1:3024 SUGAR MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-8497
Practice Address - Country:US
Practice Address - Phone:407-680-4497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9162338163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty