MEDICARE: DR. GERALD T TURGEON D.O.

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	OS7614	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OS7614	OTHER	FL	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831146745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD T TURGEON D.O.

Provider Business Mailing Address
First Line	:	2179 SE OCEAN BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34996-3305
Country	:	US
Telephone Number	:	772-301-6475
Fax Number	:

Provider Business Practice Location Address
First Line	:	2179 SE OCEAN BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34996-3305
Country	:	US
Telephone Number	:	772-301-6475
Fax Number	:

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/30/2021

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