Garry Gillis, ATC
Specialist/Technologist, Athletic Trainer in Orange Park, FL. Individual provider (NPI-1).
NPI number1679546212
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1679546212
- Entity type
- Individual (NPI-1)
- Name
- Garry Gillis
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL52 | FL | Yes |
Practice location
540 Kingsley AveOrange Park, FL 32073-4847
Phone 904-536-0548 · Fax 904-264-8350
Mailing address
802 S Lilac LoopJacksonville, FL 32259-1919
Phone 904-536-0548 · Fax 904-264-8350
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All 20 Athletic Trainer providers in Orange Park · All 2,903 providers in Orange Park
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