Individual
BETSY SUE GEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 259-8812
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 259-8812
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP9189980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308904500
—
FL
01
—
Y120R
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/27/2007
Last updated
12/11/2008
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