Rodriguez-Fazzi, Gerson Luis

Rodriguez-Fazzi, Gerson Luis is an individual health care provider with primary practice located at 601 5Th St S 5Th Floor Dept 6941, St Petersburg FL 33701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Rodriguez-Fazzi, Gerson Luis can be contacted via phone (727) 767-8480.

Contact Information

Primary practice address
601 5Th St S 5Th Floor Dept 6941 St Petersburg FL 33701
Phone: (727) 767-8480
Fax: (727) 767-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME78038 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME78038 Florida

Profile Details

NPI number 1497791651
LBN Legal business name Rodriguez-Fazzi, Gerson Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated May 3rd, 2022 - about 2 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 1497791651 NPPES
Florida MEDICAID 256269300

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