Individual
DR. GERRY LEO TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5705 LEE BLVD STE 1, LEHIGH ACRES, FL 33971-6342
(239) 343-1800
(239) 343-4041
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1800
(239) 343-4041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44894
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110070900
—
FL
05
—
309552
—
SC
Enumeration date
06/12/2008
Last updated
11/11/2021
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