Provider Demographics
NPI:1235123332
Name:GERLING, GERARD MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:GERARD
Middle Name:MICHAEL
Last Name:GERLING
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 1:300 HEALTH PARK BLVD
Mailing Address - Street 2:SUITE 4002
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-3707
Mailing Address - Country:US
Mailing Address - Phone:904-825-1114
Mailing Address - Fax:904-829-1546
Practice Address - Street 1:300 HEALTH PARK BLVD
Practice Address - Street 2:SUITE 4002
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-3707
Practice Address - Country:US
Practice Address - Phone:904-825-1114
Practice Address - Fax:904-829-1546
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME280112084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038069500Medicaid
FL31088Medicare ID - Type Unspecified