Healthcare Provider Details

I. General information

NPI: 1285624130
Provider Name (Legal Business Name): MARGUERITE GERGER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 N BELCHER RD SUITE A
CLEARWATER FL
33765-2635
US

IV. Provider business mailing address

PO BOX 4673
CLEARWATER FL
33758-4673
US

V. Phone/Fax

Practice location:
  • Phone: 727-441-8110
  • Fax: 727-441-8646
Mailing address:
  • Phone: 727-441-8110
  • Fax: 727-441-8646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License NumberCH0005822
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: