Provider Demographics
NPI:1750854378
Name:DAVID GERTH MD PA
Entity Type:Organization
Organization Name:DAVID GERTH MD PA
Other - Org Name:DR. GERTH PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GERTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-791-5180
Mailing Address - Street 1:1330 CORAL WAY STE 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2945
Mailing Address - Country:US
Mailing Address - Phone:305-204-6183
Mailing Address - Fax:305-489-8314
Practice Address - Street 1:7245 SW 57TH CT
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5301
Practice Address - Country:US
Practice Address - Phone:305-204-6183
Practice Address - Fax:305-489-8314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty