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Individual
DR. GERALD B JOHN
Active
Individual
DR. GERALD B JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252756100
—
FL
01
—
41592
BCBS
FL
Enumeration date
10/21/2005
Last updated
03/03/2020
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