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NPI Code Detail

MEDICARE: GERALD M SOKOL M.D.

MEDICARE:   GERALD M SOKOL  M.D.
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
1208000000XPediatrics PhysicianME22191FL

Other Identifiers

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

General Provider Information

NPI Number : 1417952045
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD M SOKOL M.D.
Provider Business Mailing Address
First Line : 4902 EISENHOWER BLVD
Second Line : SUITE 300
City : TAMPA
State : FL
Zip : 33634-6310
Country : US
Telephone Number : 813-636-2000
Fax Number : 813-286-8835
Provider Business Practice Location Address
First Line : 2506 W VIRGINIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33607-6326
Country : US
Telephone Number : 813-870-3720
Fax Number : 813-877-2484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 05/15/2008

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Directions to “ GERALD M SOKOL M.D.” Practice Location

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