Individual
DR. JENNIFER W GERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15416 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 960-2400
(813) 960-2410
Mailing address
15416 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 960-2400
(813) 960-2410
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME93072
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME93072
FL
2085R0001X
Radiation Oncology Physician
01052989A
IN
2085R0001X
Radiation Oncology Physician
32917
KY
2085R0001X
Radiation Oncology Physician
Primary
35059192
OH
2085R0001X
Radiation Oncology Physician
ME93072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909922
—
OH
05
—
200070450
—
IN
05
—
64954902
—
KY
Enumeration date
08/26/2005
Last updated
04/19/2021
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