| Doctor Name: | DR. JULIAN R GERSHON |
| NPI Number: | 1659419992 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS1928 |
| Business Practice Address: | 2400 S Mccall Rd Suite C Englewood, FL - 342245137 |
| Business Phone Number: | 9414749314 |
| Business Fax Number: | 9414739813 |
| Mailing Address: | 3434 Hancock Br Pkwy, N FT MYERS |
| State: | FL |
| Postal Code: | 339037094 |
| Phone Number: | 8778563774 |
| Fax Number: | 2395992625 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 10/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS1928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |