MEDICARE: GERLIYNE GEDEON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902310360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERLIYNE GEDEON

Provider Business Mailing Address
First Line	:	731 N POWERLINE RD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-2311
Country	:	US
Telephone Number	:	754-800-8281
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 SW 27TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-2050
Country	:	US
Telephone Number	:	754-800-8281
Fax Number	:

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

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	09/16/2025

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Directions to “ GERLIYNE GEDEON ” Practice Location

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