Individual
DIANNE THERESA GERRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8519 REDLEAF LN, ORLANDO, FL 32819-3927
(407) 536-7640
Mailing address
8519 REDLEAF LN, ORLANDO, FL 32819-3927
(407) 536-7640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD12935
HI
208000000X
Pediatrics Physician
Primary
ME102496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145FH
BCBS
FL
Enumeration date
08/30/2006
Last updated
12/15/2013
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