Individual
GERALD LOUIS COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
508 S HABANA AVE, SUITE 230, TAMPA, FL 33609-4181
(813) 877-6636
(813) 877-6610
Mailing address
508 S HABANA AVE, SUITE 230, TAMPA, FL 33609-4181
(813) 877-6636
(813) 877-6610
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
PO-0001221
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-0001221
FL
213ES0131X
Foot Surgery Podiatrist
PO-0001221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041093400
—
FL
Enumeration date
06/12/2006
Last updated
07/03/2008
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