Provider Demographics
NPI:1992842900
Name:GERITY, SANDRA LUCINDA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LUCINDA
Last Name:GERITY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1576 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1465
Mailing Address - Country:US
Mailing Address - Phone:407-303-3606
Mailing Address - Fax:407-303-7195
Practice Address - Street 1:2501 S ORANGE AVE
Practice Address - Street 2:SUITE 414
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4545
Practice Address - Country:US
Practice Address - Phone:407-303-3606
Practice Address - Fax:407-303-7195
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1899252363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily