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DR. JACQUELINE RODRIGUEZ GILMORE MD
NPI 1972362226
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 18, 2024PECOS Enrolled
2300 PARK AVE STE 205, ORANGE PARK, FL 32073(904) 272-0384 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline Rodriguez Gilmore Md NPPES

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

DR. JACQUELINE RODRIGUEZ GILMORE MD (NPI 1972362226) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972362226
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JACQUELINE RODRIGUEZ GILMORECredential: MD
Location Address2300 PARK AVE STE 205Orange Park, FL 32073-5573
Mailing Address2300 Park Ave Ste 205Orange Park, FL 32073-5573 · (904) 272-0384
Phone(904) 272-0384
Sole ProprietorYes
Enumeration DateMarch 18, 2024
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1972362226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2300 PARK AVE STE 205, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Rodriguez Gilmore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

ANDREA CASTANO
Physician Assistant
2300 PARK AVE STE 205
ORANGE PARK, FL 32073
Clay County (904) 272-0384
ELLEN COOPERRIDER LCSW
Social Worker
2300 PARK AVE STE 205
ORANGE PARK, FL 32073
Clay County (904) 308-3751
JOHNIQUE C BENNETT M.D.
Family Medicine
2300 PARK AVE STE 205
ORANGE PARK, FL 32073
Clay County (904) 272-0384

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 Jacqueline Gilmore's NPI number?

The NPI number for Jacqueline Gilmore is 1972362226. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Jacqueline Gilmore located?

Jacqueline Gilmore practices at 2300 Park Ave Ste 205, Orange Park, FL 32073. The listed phone number is (904) 272-0384.

What is Jacqueline Gilmore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacqueline Gilmore enrolled in Medicare?

Yes. Jacqueline Gilmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Gilmore was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.