MEDICARE: GERARD MICHAEL GERLING 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	2084N0400X	Neurology Physician	ME28011	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	:	1235123332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARD MICHAEL GERLING MD

Provider Business Mailing Address
First Line	:	300 HEALTH PARK BLVD
Second Line	:	SUITE 4002
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3707
Country	:	US
Telephone Number	:	904-825-1114
Fax Number	:	904-829-1546

Provider Business Practice Location Address
First Line	:	300 HEALTH PARK BLVD
Second Line	:	SUITE 4002
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3707
Country	:	US
Telephone Number	:	904-825-1114
Fax Number	:	904-829-1546

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	05/19/2021

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