Provider Demographics
NPI:1811036114
Name:AGUIRRE, GAYLE M (RN,BC-ADM,CDE)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:M
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:RN,BC-ADM,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:12624 BIRCHBARK CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-9124
Mailing Address - Country:US
Mailing Address - Phone:407-629-1599
Mailing Address - Fax:407-599-1394
Practice Address - Street 1:5201 RAYMOND ST
Practice Address - Street 2:ORLANDO VA MEDICAL CENTER
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-8208
Practice Address - Country:US
Practice Address - Phone:407-629-1599
Practice Address - Fax:407-599-1394
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1098642163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator