Individual
MR. BAHAA R GERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
124 S FLORIDA ST, BUSHNELL, FL 33513-6704
(352) 793-8661
Mailing address
124 S FLORIDA ST, BUSHNELL, FL 33513-6704
(352) 793-8661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887299600
—
FL
Enumeration date
05/02/2007
Last updated
10/26/2010
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