Individual
PATRICK GERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R T R ARRT
Contact information
Practice address
3621 MOON BAY CIR, WELLINGTON, FL 33414-8803
(561) 633-5711
(561) 880-0407
Mailing address
3621 MOON BAY CIR, WELLINGTON, FL 33414-8803
(561) 633-5711
(561) 880-0407
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT63921
FL
2471C3402X
Radiography Radiologic Technologist
CRT63921
FL
Other
Enumeration date
04/14/2009
Last updated
06/21/2021
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