Individual
DR. SHAWN NATHAN GERSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 NW CORPORATE BLVD, SUITE 300, BOCA RATON, FL 33431
(561) 417-0004
(561) 807-6807
Mailing address
2200 NW CORPORATE BLVD, SUITE 300, BOCA RATON, FL 33431
(561) 417-0004
(561) 807-6807
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
184097
NY
2084P0800X
Psychiatry Physician
Primary
ME0076273
FL
2084P0802X
Addiction Psychiatry Physician
184097
NY
2084P0802X
Addiction Psychiatry Physician
ME0076273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44988
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/22/2007
Last updated
01/10/2017
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