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Individual

IRINA F GERSHIN-STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9890
(239) 343-9898

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
225785
NY
2080P0210X
Pediatric Nephrology Physician
Primary
OS10700
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001529200
FL
Enumeration date
07/14/2006
Last updated
06/27/2024
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