Provider Information for 1932419678
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Mr. GERALD MILTON SYRKETT LMHC
Sex: Male
NPI: 1932419678
Last Updated: 2010-10-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932419678 | ||||||||||||||||
| Enumeration Date | 2010-10-15 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 3730 42ND WAY S #L ST PETERSBURG, FL 33711-4077 United States Phone: 727-433-2230 | Fax: | ||||||||||||||||
| Primary Practice Address | 3730 42ND WAY S #L ST PETERSBURG, FL 33711-4077 United States Phone: 727-433-2230 | Fax: | ||||||||||||||||
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