Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 130700 | FL |
NPI | 1346549953 |
---|---|
Provider Name | Kenneth Seth Gerszberg |
First Address | Palm Beach Gardens, FL 33410-4625 |
Second Address | West Palm Beach, FL 33411-3803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2011 |
Last Update Date | 14/06/2020 |