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1053020842
JAKE LEY GILLIS
PEMBROKE PINES, FL
NPI
1053020842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: FL 39611)
Enumeration Date
2022-11-21
Last Update Date
2023-01-12
Business Address
Dr. JAKE LEY GILLIS DPT
17900 NW 5TH ST STE 102
PEMBROKE PINES, FL 33029-2809
Phone number: 954-367-4000
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Mailing Address
Dr. JAKE LEY GILLIS DPT
7230 TAFT ST
HOLLYWOOD, FL 33024-5430
Phone number: 954-907-3182
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