Gergen, David W

Gergen, David W is an sole proprietor health care provider with primary practice located at 5421 S Florida Ave , Lakeland FL 33813-2523. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gergen, David W can be contacted via phone (863) 646-5960.

Contact Information

Primary practice address
5421 S Florida Ave Lakeland FL 33813-2523
Phone: (863) 646-5960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 2871 Florida

Profile Details

NPI number 1598878191
LBN Legal business name Gergen, David W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jan 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598878191 NPPES
Florida Other 1634148 UHC
Florida Other 16731 UHC

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