Provider Demographics
NPI:1174506323
Name:GERSTEN, JANET K (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:K
Last Name:GERSTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8900 SW 117TH AVE
Mailing Address - Street 2:SUITE B 207
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2175
Mailing Address - Country:US
Mailing Address - Phone:305-274-6002
Mailing Address - Fax:305-274-7970
Practice Address - Street 1:8900 SW 117TH AVE
Practice Address - Street 2:SUITE B 207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2175
Practice Address - Country:US
Practice Address - Phone:305-274-6002
Practice Address - Fax:305-274-7970
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0041141207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374376400Medicaid
FL374376400Medicaid
FL96230XMedicare ID - Type Unspecified