Individual
DR. H. GERLACH JAMES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WINTER HAVEN HOSPITAL, 200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME54919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047709167A
—
GA
05
—
2560526-00
—
FL
01
—
P00071273
RAILROAD MEDICARE
FL
Enumeration date
01/25/2006
Last updated
09/05/2007
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