Individual
MR. GERRY SURRENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, ARNP
Contact information
Practice address
1895 KINGSLEY AVE STE 403, ORANGE PARK, FL 32073-4453
(904) 300-4341
(904) 300-4341
Mailing address
1895 KINGSLEY AVE STE 403, ORANGE PARK, FL 32073-4453
(904) 300-4341
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN3174792
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3174792
FL
Other
Enumeration date
04/22/2014
Last updated
08/31/2021
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