Provider Information for 1992413280
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THERESA GERSTEIN
Sex: Female
NPI: 1992413280
Last Updated: 2022-11-07
Certification Date: 2022-11-07
Certification Date: 2022-11-07
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992413280 | ||||||||||||||
| Enumeration Date | 2022-11-07 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 7821 N DALE MABRY HWY STE 208 TAMPA, FL 33614-3200 United States Phone: 813-443-4827 | Fax: | ||||||||||||||
| Primary Practice Address | 7821 N DALE MABRY HWY STE 208 TAMPA, FL 33614-3200 United States Phone: 813-443-4827 | Fax: | ||||||||||||||
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