Individual
GERARD MULLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901-5857
(239) 297-9220
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3831
(239) 343-2301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME157564
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115896600
—
FL
Enumeration date
04/04/2020
Last updated
11/13/2025
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