Healthcare Provider Details

I. General information

NPI: 1750600359
Provider Name (Legal Business Name): KATE R GERBER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE I ROSS MD

II. Dates (important events)

Enumeration Date: 05/20/2010
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5304 4TH AVENUE CIR E
BRADENTON FL
34208-5624
US

IV. Provider business mailing address

5304 4TH AVENUE CIR E
BRADENTON FL
34208-5624
US

V. Phone/Fax

Practice location:
  • Phone: 941-761-2900
  • Fax: 941-795-1400
Mailing address:
  • Phone: 941-761-2900
  • Fax: 941-795-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME114748
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberME114748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: