Provider Demographics
NPI:1518114644
Name:FINK, GERSHON (DO)
Entity Type:Individual
Prefix:DR
First Name:GERSHON
Middle Name:
Last Name:FINK
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 1:4350 POST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3012
Mailing Address - Country:US
Mailing Address - Phone:786-521-1587
Mailing Address - Fax:
Practice Address - Street 1:241 NE 4TH ST STE A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3805
Practice Address - Country:US
Practice Address - Phone:786-521-1587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9753207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217640601Medicaid
TX8CN771OtherBCBS
TX217640602Medicaid
TXTXB114990Medicare PIN
TX8CN771OtherBCBS
TX217640602Medicaid