MEDICARE: JOHN KYLE GERDES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	PMD540093	FL

General Provider Information

NPI Number	:	1114881414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN KYLE GERDES

Provider Business Mailing Address
First Line	:	5900 27TH TER N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-3308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 27TH TER N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-3308
Country	:	US
Telephone Number	:	813-943-7368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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