MS. PRISCILLA LEE GULLIVER M.S., - NPI 1356547251 - Specialist in St Augustine, FL

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Ms. Priscilla Lee Gulliver M.s., NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PRISCILLA LEE GULLIVER M.S., (NPI 1356547251) is an individual specialist in St Augustine, Florida, licensed in Florida (MA18779) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1356547251

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. PRISCILLA LEE GULLIVERCredential: M.S.,

Location Address2180 A1A S, SUITE 104St Augustine, FL 32080-6591

Mailing Address2180 A1a S, Suite 104St Augustine, FL 32080-6591 · (904) 347-7497 · Fax (904) 797-7812

Phone(904) 347-7497

Fax(904) 797-7812

Sole ProprietorYes

Enumeration DateJune 26, 2007

Last NPPES UpdateApril 9, 2008

✔ NPI 1356547251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · MA18779

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2180 A1A S, St Augustine, FL 32080

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