Provider Demographics
NPI:1811145865
Name:ASHBY, GEM M (MD)
Entity type:Individual
Prefix:
First Name:GEM
Middle Name:M
Last Name:ASHBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20209 REGAL FERN CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3651
Mailing Address - Country:US
Mailing Address - Phone:973-454-7453
Mailing Address - Fax:
Practice Address - Street 1:2391 OAK MYRTLE LANE
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4653
Practice Address - Country:US
Practice Address - Phone:813-803-2219
Practice Address - Fax:813-602-5251
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME102718207V00000X
INME102718207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology