| Gerard M. Gerling M.d., P.a. | |
|
300 Health Park Blvd Suite 4002 St Augustine FL 32086-3707 | |
| (904) 825-1114 | |
| (904) 829-1546 |
| Full Name | Gerard M. Gerling M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Gerard Michael Gerling (CEO/PRES) |
| Authorized Official Contact | 9048251114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard M. Gerling M.d., P.a. 300 Health Park Blvd Suite 4002 St Augustine FL 32086-3707 Ph: (904) 825-1114 | Gerard M. Gerling M.d., P.a. 300 Health Park Blvd Suite 4002 St Augustine FL 32086-3707 Ph: (904) 825-1114 |
| NPI Number | 1588987747 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 10/19/2011 |
| Medicare PECOS PAC ID | 3870624331 |
|---|---|
| Medicare Enrollment ID | O20100626000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588987747 | NPI | - | NPPES |
| 038069500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME28011 (Florida) | Primary |
| Provider Name | Gerard M Gerling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235123332 PECOS PAC ID: 2769513225 Enrollment ID: I20100626000530 |
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