Gerson, Jennifer W

Gerson, Jennifer W is an sole proprietor health care provider with primary practice located at 15416 N Florida Ave , Tampa FL 33613-1244. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Gerson, Jennifer W can be contacted via phone (813) 960-2400.

Contact Information

Primary practice address
15416 N Florida Ave Tampa FL 33613-1244
Phone: (813) 960-2400
Fax: (813) 960-2410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35059192 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X ME93072 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME93072 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 32917 Kentucky
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01052989A Indiana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME93072 Florida

Profile Details

NPI number 1184617904
LBN Legal business name Gerson, Jennifer W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Apr 19th, 2021 - about 3 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 1184617904 NPPES
Kentucky MEDICAID 64954902
Kentucky MEDICAID 200070450
Kentucky MEDICAID 0909922

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