Provider Demographics
NPI:1356030431
Name:GILMAN, ROBERT ADAM (DACM, AP)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ADAM
Last Name:GILMAN
Suffix:
Gender:M
Credentials:DACM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1442 FARRINDON CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4357
Mailing Address - Country:US
Mailing Address - Phone:407-617-9214
Mailing Address - Fax:
Practice Address - Street 1:1442 FARRINDON CIR
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4357
Practice Address - Country:US
Practice Address - Phone:407-617-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4294171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist