Provider Demographics
NPI:1023047677
Name:GILFOR, JEFFREY MARC (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARC
Last Name:GILFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2515
Mailing Address - Country:US
Mailing Address - Phone:610-636-2268
Mailing Address - Fax:813-265-5300
Practice Address - Street 1:11911 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3507
Practice Address - Country:US
Practice Address - Phone:813-265-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA418150207L00000X
FLME116838207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology