MEDICARE: RICHARD GERSHANIK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	ME0053136	FL
2	207X00000X	Orthopaedic Surgery Physician	ME0053136	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093792657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD GERSHANIK MD

Provider Business Mailing Address
First Line	:	8390 W FLAGLER ST
Second Line	:	STE 107
City	:	MIAMI
State	:	FL
Zip	:	33144-2039
Country	:	US
Telephone Number	:	305-551-8088
Fax Number	:	305-551-7603

Provider Business Practice Location Address
First Line	:	8390 W FLAGLER ST
Second Line	:	STE. 107
City	:	MIAMI
State	:	FL
Zip	:	33144-2039
Country	:	US
Telephone Number	:	305-551-8088
Fax Number	:	305-551-7603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	03/22/2012

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Directions to “ RICHARD GERSHANIK MD” Practice Location

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