Healthcare Provider Details

I. General information

NPI: 1205097896
Provider Name (Legal Business Name): GERSON BRUCE FLOREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 SE SALERNO RD STE 110
STUART FL
34997-6572
US

IV. Provider business mailing address

3066 SW MARTIN DOWNS BLVD
PALM CITY FL
34990-2683
US

V. Phone/Fax

Practice location:
  • Phone: 772-781-2735
  • Fax:
Mailing address:
  • Phone: 772-781-2735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME147331
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD444776
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME147331
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: