Provider Demographics
NPI:1821518028
Name:GLOBAL PHYSICIAN NETWORK LLC SERIES II
Entity Type:Organization
Organization Name:GLOBAL PHYSICIAN NETWORK LLC SERIES II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-917-8507
Mailing Address - Street 1:PO BOX 532325
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-2325
Mailing Address - Country:US
Mailing Address - Phone:941-917-8507
Mailing Address - Fax:941-917-8551
Practice Address - Street 1:6331 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3917
Practice Address - Country:US
Practice Address - Phone:941-917-5678
Practice Address - Fax:386-274-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty