Individual
LILIYA GERASYMCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1261 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3252
(239) 573-7337
(239) 574-5883
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS16775
FL
Other
Enumeration date
04/01/2017
Last updated
08/21/2020
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