Provider Demographics
NPI:1215199609
Name:GERGES, NABIL SAAD (DO)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:SAAD
Last Name:GERGES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 DREW ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3305
Mailing Address - Country:US
Mailing Address - Phone:727-797-7463
Mailing Address - Fax:727-216-0374
Practice Address - Street 1:2250 DREW ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3305
Practice Address - Country:US
Practice Address - Phone:727-797-7463
Practice Address - Fax:727-724-5689
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10298207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBH872ZMedicare PIN