Healthcare Provider Details
I. General information
NPI: 1962328757
Provider Name (Legal Business Name): GERT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 E DEL WEBB BLVD
SUN CITY CENTER FL
33573-6673
US
IV. Provider business mailing address
16781 GLACIER BAY LOOP
WIMAUMA FL
33598-5572
US
V. Phone/Fax
- Phone: 813-205-0079
- Fax:
- Phone: 813-205-0079
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARNELL
I.
BENJAMIN-CARTER
Title or Position: OWNER
Credential:
Phone: 813-205-0079