Whalio Doctors

NPI 1114983020

Stephen Zisl Gervin, MD

Practitioner Specialist Pembroke Pines, FL

Practice location

Address
2301 N University Dr Suite 210, Pembroke Pines, FL 33024-3617
Phone
(954) 961-3365
Fax
(954) 961-5629
Mailing address
2301 N University Drive Suite 210, Pembroke Pines, FL 33024

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence ME13977 (FL)

Registry record

NPI
1114983020
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Apr 2006
Record last updated
15 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.