Doctor Name: | SHARON GERSON |
NPI Number: | 1154369940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1293882 |
Business Practice Address: | 841 Bay Point Dr Madeira Beach, FL - 337082316 |
Business Phone Number: | 7273918429 |
Business Fax Number: | |
Mailing Address: | 841 Bay Point Dr, MADEIRA BEACH |
State: | FL |
Postal Code: | 337082316 |
Phone Number: | 7273918429 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 1293882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |