Organization
JEAN GERIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERDIE JEAN-SMITH MD (PHYSICIAN)
(941) 276-8036
Entity
Organization
Contact information
Practice address
3450 ROWLAND DR, PORT CHARLOTTE, FL 33980-2284
(941) 276-8036
Mailing address
3450 ROWLAND DR, PORT CHARLOTTE, FL 33980-2284
(941) 276-8036
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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