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General NPI Number Information
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NPI Number | 1922081868
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Entity Type | Individual
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Provider Name | GARY E GERHARD MD
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 8333 N DAVIS HWY WEST F;PRODA MEDICAL CENTER CLINIC PA
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City | PENSACOLA
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State | FL
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Zip | 32514-6050
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Country | US
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Telephone | 850-474-8353
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Fax | 850-474-8504
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Provider Business Mailing Address
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Address Line | 8838 BURNING TREE RD MEDICAL CENTER CLINIC NEUROLOGY
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City | PENSACOLA
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State | FL
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Zip | 32514-5605
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Country | US
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Telephone | 850-292-9946
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME0036643
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License Number State | FL
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