Provider Demographics
NPI:1093711822
Name:GERRRY, HUBERT W (MD)
Entity Type:Individual
Prefix:
First Name:HUBERT
Middle Name:W
Last Name:GERRRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4527 CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2323
Mailing Address - Country:US
Mailing Address - Phone:941-921-3414
Mailing Address - Fax:
Practice Address - Street 1:4527 CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2323
Practice Address - Country:US
Practice Address - Phone:941-921-3414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0037008207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology