Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME0041141 | FL |
NPI | 1174506323 |
---|---|
Provider Name | Dr. Janet K Gersten |
First Address | Miami, FL 33186-2175 |
Second Address | Miami, FL 33186-2175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
374376400 | (05) | FL |
D63783 | (02) | FL |