Individual
MR. JOHN ROBERT GERKE JR.
Active
Individual
MR. JOHN ROBERT GERKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5375
AZ
363AM0700X
Medical Physician Assistant
Primary
PA9105706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003873100
—
FL
01
—
PA9105706
MEDICAL LICENSE
FL
Enumeration date
10/22/2010
Last updated
11/16/2016
Update your record
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