Provider Demographics
NPI:1932189214
Name:RHODE, GERALD KENNETH (ARNP)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:KENNETH
Last Name:RHODE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HOBBS ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8068
Mailing Address - Country:US
Mailing Address - Phone:813-657-3200
Mailing Address - Fax:813-657-8290
Practice Address - Street 1:221 HOBBS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-8068
Practice Address - Country:US
Practice Address - Phone:813-657-3200
Practice Address - Fax:813-657-8290
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3153952363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner