Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME93072 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | ME93072 | FL |
NPI | 1184617904 |
---|---|
Provider Name | Dr. Jennifer W Gerson |
First Address | Tampa, FL 33613-1244 |
Second Address | Tampa, FL 33613-1244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 19/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0909922 | (05) | OH |
200070450 | (05) | IN |
64954902 | (05) | KY |
F24107 | (02) |