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Individual

GENNADY GEKHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8340 LAKEWOOD RANCH BLVD STE 300, LAKEWOOD RANCH, FL 34202-5046
(974) 792-1404
(941) 795-1717
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
053530
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
ME95933
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17808
BCBS FLORIDA
FL
Enumeration date
05/31/2006
Last updated
05/26/2022
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