Individual
GERALD HERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT (R)
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
218 NW 13TH AVE, GAINESVILLE, FL 32601-4219
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT 68077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H600-291-58-180-0
DRIVER LICENSE
FL
Enumeration date
12/09/2009
Last updated
12/09/2009
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