Individual
PETER PAUL GERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4202 E FOWLER AVE, SHS 100, TAMPA, FL 33620-9951
(813) 974-2331
(813) 974-7181
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME29631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000200000
—
FL
01
—
53716
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/25/2008
Last updated
11/23/2010
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