Individual
DR. DERALD RAY GINGERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6445
Mailing address
3007 W STOVALL ST, TAMPA, FL 33629-8132
(813) 831-4291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0055100
FL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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