Provider Demographics
NPI:1558512756
Name:GILLYARD, SHARON A (RRT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:GILLYARD
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140512
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-0512
Mailing Address - Country:US
Mailing Address - Phone:352-335-2373
Mailing Address - Fax:
Practice Address - Street 1:5816 SW ARCHER RD LOT 104
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-3838
Practice Address - Country:US
Practice Address - Phone:352-335-2373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT85832279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care