MEDICARE: GERARD L GEMME CRNA

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	367500000X	Certified Registered Nurse Anesthetist	APRN1072912	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G1946	OTHER	FL	BSFL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	430026526	OTHER	FL	MCRR
4	G1946Z	OTHER	FL	MCR
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386634335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARD L GEMME CRNA

Provider Business Mailing Address
First Line	:	12511 WORLD PLAZA LN BLDG 50
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3991
Country	:	US
Telephone Number	:	239-939-2622
Fax Number	:	239-939-0151

Provider Business Practice Location Address
First Line	:	12511 WORLD PLAZA LN BLDG 50
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3991
Country	:	US
Telephone Number	:	239-939-2622
Fax Number	:	239-939-0151

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	02/21/2024

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Directions to “ GERARD L GEMME CRNA” Practice Location

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