Gerald Derise in Winter Haven - Nurse Anesthetist, Certified Registered
Gerald Derise - NPI 1720025935
Gerald Derise is a Nurse Anesthetist, Certified Registered in Winter Haven, Florida. Gerald Derise practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Gerald Derise is 1720025935. The last update date is 2010-05-24.
Gerald Derise's current location address is 325 Avenue B Nw, Winter Haven, Florida. You can contact this provider via phone number 8632914000. The mailing address for Gerald Derise is 325 Avenue B Nw, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Derise |
|---|---|
| Address | 325 Avenue B Nw, Winter Haven, Florida |
| Phone Number | 8632914000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1720025935 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2010-05-24 |
Provider Mailing Address Detail
| Address | 325 Avenue B Nw |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338814651 |
| Phone Number | 8632914000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 573282 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00274577 | FL | RAILROAD MEDICARE | |
| 306429800 | FL | -- | |
| G0579 | FL | BLUE CROSS BLUE SHIELD FL |
Post Comment/ Review Below
What is the unique identifier code issued to Gerald Derise by the Centers for Medicare & Medicaid Services?
The Gerald Derise has been assigned the NPI (National Provider Identifier) 1720025935. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gerald Derise?
The Gerald Derise is situated at 325 Avenue B Nw, in the city of Winter Haven, state of FL, with the zip code 338814651.
What is the Gerald Derise's area of specialization and corresponding taxonomy classification?
The Gerald Derise's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
When did the Gerald Derise receive its 1720025935?
The Gerald Derise was issued its 1720025935 on 2006-05-31, which is the date when the organization was assigned this unique identifier.
When was the information regarding Gerald Derise, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gerald Derise, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-05-24.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA