Healthcare Provider Details

I. General information

NPI: 1942014014
Provider Name (Legal Business Name): GHERARLDA PIERROT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W STATE ROAD 436 STE 2151
ALTAMONTE SPRINGS FL
32714-3056
US

IV. Provider business mailing address

631 CLEMSON DR
ALTAMONTE SPRINGS FL
32714-4053
US

V. Phone/Fax

Practice location:
  • Phone: 954-773-4170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11038550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: