Crystal Gillyard

Driver · Lake Wales, FL

Individual Active NPI

NPI number 1457098899

Practice location

219 Dinner Lake Pl
Lake Wales, FL 33859-2104
Phone
(863) 455-6505

Open in Google Maps

NPI record

NPI
1457098899
Entity type
Individual (Type 1)
Enumeration date
May 17, 2022
Last updated
May 17, 2022
Certified
May 17, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X G463104856650 FL

Mailing address

401 Winston Ave Apt B1
Lake Wales, FL 33853-5057
Phone
(863) 605-5839

About Crystal Gillyard

Crystal Gillyard is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 219 Dinner Lake Pl, Lake Wales, FL 33859-2104. The NPI number 1457098899 was assigned on May 17, 2022 and the record was last updated on May 17, 2022.

Crystal Gillyard lists a license in the registry: #G463104856650 (FL) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Gillyard?

The NPI number is 1457098899.

What is the phone number of Crystal Gillyard?

The phone number listed for the practice location is (863) 455-6505.

Where is Crystal Gillyard located?

219 Dinner Lake Pl, Lake Wales, FL 33859-2104.

What is the taxonomy code for Crystal Gillyard?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Driver providers in Lake Wales

All Driver providers in Lake Wales, FL →