Provider Demographics
NPI:1487794467
Name:GILLARD, ERIC ALLEN (HS3)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:ALLEN
Last Name:GILLARD
Suffix:
Gender:M
Credentials:HS3
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15100 RESCUE WAY
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762
Mailing Address - Country:US
Mailing Address - Phone:727-535-1437
Mailing Address - Fax:
Practice Address - Street 1:7501 ULMERTON RD
Practice Address - Street 2:APT 2412
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4510
Practice Address - Country:US
Practice Address - Phone:727-535-1437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant