Healthcare Provider Details

I. General information

NPI: 1861495426
Provider Name (Legal Business Name): ROBIN P GEHRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19527 HIGHLAND OAKS DR STE 201
ESTERO FL
33928-9637
US

IV. Provider business mailing address

900 VILLAGE SQUARE XING STE 290
PALM BEACH GARDENS FL
33410-4552
US

V. Phone/Fax

Practice location:
  • Phone: 239-237-0770
  • Fax: 239-237-0771
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME143032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: