| Doctor Name: | DR. GERALD LEE TODOROFF |
| NPI Number: | 1033129804 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | PY5565 |
| Business Practice Address: | 5465 Commercial Way Spring Hill, FL - 346061110 |
| Business Phone Number: | 3525975497 |
| Business Fax Number: | 3525971662 |
| Mailing Address: | 5465 Commercial Way, SPRING HILL |
| State: | FL |
| Postal Code: | 346061110 |
| Phone Number: | 3525975497 |
| Fax Number: | 3525971662 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY5565 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |