Organization
GERARDO P. SISON, JR., M.D., P.A.
Active
Parent organization
GERARDO P. SISON, JR., M.D.. P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GERARDO P. SISON, JR., M.D.. P.A.
Authorized official
MRS. VIRGINIA DEE SISON (OFFICE MANAGER)
(727) 787-3422
Entity
Organization
Contact information
Practice address
34650 US HIGHWAY 19 N, SUITE 107, PALM HARBOR, FL 34684-2155
(727) 787-3422
(727) 787-5624
Mailing address
34650 US HIGHWAY 19 N, SUITE 107, PALM HARBOR, FL 34684-2155
(727) 787-3422
(727) 787-5624
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME53725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064334300
—
FL
Enumeration date
05/07/2008
Last updated
03/27/2012
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