Dr. Vincent Stephen Gervera III
Physical Therapist
2316 W 23rd St Suite C
Panama City
, Florida 32405-2345
Dr. Vincent Stephen Gervera III
Physical Therapist
2316 W 23rd St Suite C
Panama City
, Florida 32405-2345
(850) 441-3285
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Dr. Vincent Stephen Gervera III
- 2612 Redtail St
- Panama City, FL
- Zip : 32405-6680
- Phone : (850) 441-3285
Second Address
- Dr. Vincent Stephen Gervera III
- 2316 W 23rd St Suite C
- Panama City, FL
- Zip : 32405-2345
- Phone : (850) 522-4770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 27065 | FL |
National Provider Identifier
| NPI | 1003187725 |
|---|---|
| Provider Name | Dr. Vincent Stephen Gervera III |
| First Address | Panama City, FL 32405-6680 |
| Second Address | Panama City, FL 32405-2345 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2012 |
| Last Update Date | 26/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.