FRED GILLIAM HAS
NPI 1811231525
Specialist in Orange City, FL

Active since November 19, 2012
742 N VOLUSIA AVE, ORANGE CITY, FL 32763(386) 561-9496 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Gilliam Has NPPES

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

FRED GILLIAM HAS (NPI 1811231525) is an individual specialist in Orange City, Florida, licensed in Florida (AS4847) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1811231525
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameFRED GILLIAMCredential: HAS
Location Address742 N VOLUSIA AVEOrange City, FL 32763-4857
Mailing Address5680 Winona TrlDe Leon Springs, FL 32130-3613 · (386) 717-1621
Sole ProprietorNo
Enumeration DateNovember 19, 2012
Last NPPES UpdateMarch 14, 2014
NPI 1811231525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · AS4847
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.
742 N VOLUSIA AVE, Orange City, FL 32763

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist
742 N VOLUSIA AVE
ORANGE CITY, FL 32763
Hearing Instrument Specialist
742 N VOLUSIA AVE
ORANGE CITY, FL 32763
Specialist
742 N VOLUSIA AVE
ORANGE CITY, FL 32763
Specialist
742 N VOLUSIA AVE
ORANGE CITY, FL 32763
Hearing Instrument Specialist
742 N VOLUSIA AVE
ORANGE CITY, FL 32763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Gilliam's NPI number?

The NPI number for Fred Gilliam is 1811231525. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Fred Gilliam located?

Fred Gilliam practices at 742 N Volusia Ave, Orange City, FL 32763. The listed phone number is (386) 561-9496.

What is Fred Gilliam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fred Gilliam was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.