Dr Michael F Gervasi, DO | |
15858 Sw Warfield Blvd, Box 648, Indiantown, FL 34956-0648 | |
(772) 597-3596 | |
(772) 597-4194 |
Full Name | Dr Michael F Gervasi |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 15858 Sw Warfield Blvd, Indiantown, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043241375 | NPI | - | NPPES |
371600700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS5479 (Florida) | Primary |
Entity Name | Florida Community Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346619244 PECOS PAC ID: 9931017126 Enrollment ID: O20160222001336 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael F Gervasi, DO 4450 S Tiffany Dr, West Palm Beach, FL 33407-3241 Ph: (561) 844-9443 | Dr Michael F Gervasi, DO 15858 Sw Warfield Blvd, Box 648, Indiantown, FL 34956-0648 Ph: (772) 597-3596 |
Robert J. Trenschel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15858 S.w. Warfield Blvd., Box 457, Indiantown, FL 34956 Phone: 772-597-3596 Fax: 772-597-4194 | |
Tammy L. Tuchel, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15858 S. W. Warfield Blvd., Indiantown, FL 34956 Phone: 722-597-3596 Fax: 772-597-4194 |