Provider Demographics
NPI:1205810975
Name:GERBER, ALAN PAUL (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:PAUL
Last Name:GERBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALAN
Other - Middle Name:PAUL
Other - Last Name:GERBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8702 HUNTERS LAKE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2855
Mailing Address - Country:US
Mailing Address - Phone:813-467-4700
Mailing Address - Fax:
Practice Address - Street 1:8702 HUNTERS LAKE DR STE 100
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2855
Practice Address - Country:US
Practice Address - Phone:813-467-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058672207V00000X
MDD0031516207V00000X
FLME125572207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404931400Medicaid
MD404931400Medicaid
MDC62001Medicare UPIN