Individual
DR. DEBORAH MIRIAM GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 MEDICAL LN, SUITE 100, FORT MYERS, FL 33907-1143
(239) 939-2305
(239) 939-0947
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME103616
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TRN7948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001209700
—
FL
Enumeration date
07/09/2007
Last updated
05/05/2014
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