Individual
ALYSSA RAE GERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 624-3687
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110066
FL
363AS0400X
Surgical Physician Assistant
9110066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021003500
—
FL
Enumeration date
02/01/2017
Last updated
02/22/2023
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