Healthcare Provider Details

I. General information

NPI: 1346201324
Provider Name (Legal Business Name): MICHAEL E GERBER
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 US HWY 1 SUITE B
NORTH PALM BCH FL
33408
US

IV. Provider business mailing address

609 NW 30TH COURT
WILTON MANORS FL
33311
US

V. Phone/Fax

Practice location:
  • Phone: 561-848-8482
  • Fax: 561-649-7342
Mailing address:
  • Phone: 954-563-4472
  • Fax: 954-563-6048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6734
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: