Provider Demographics
NPI:1831146745
Name:TURGEON, GERALD T (DO)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:T
Last Name:TURGEON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:LEVENSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OFFICE MANAGER
Mailing Address - Street 1:2179 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3305
Mailing Address - Country:US
Mailing Address - Phone:772-301-6475
Mailing Address - Fax:
Practice Address - Street 1:2179 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3305
Practice Address - Country:US
Practice Address - Phone:772-301-6475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7614204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS7614OtherLICENSE
FLD71414Medicare UPIN
FLOS7614OtherLICENSE