| Gerardo P. Sison, Jr., M.d., P.a. | |
|
34650 Us Highway 19 N Suite 107 Palm Harbor FL 34684-2155 | |
| (727) 787-3422 | |
| (727) 787-5624 |
| Full Name | Gerardo P. Sison, Jr., M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 34650 Us Highway 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Virginia Dee Sison (OFFICE MANAGER) |
| Authorized Official Contact | 7277873422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo P. Sison, Jr., M.d., P.a. 34650 Us Highway 19 N Suite 107 Palm Harbor FL 34684-2155 Ph: (727) 787-3422 | Gerardo P. Sison, Jr., M.d., P.a. 34650 Us Highway 19 N Suite 107 Palm Harbor FL 34684-2155 Ph: (727) 787-3422 |
| NPI Number | 1962678110 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 03/27/2012 |
| Medicare PECOS PAC ID | 8820265739 |
|---|---|
| Medicare Enrollment ID | O20120214000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962678110 | NPI | - | NPPES |
| 064334300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME53725 (Florida) | Primary |
| Provider Name | Gerardo P Sison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275553174 PECOS PAC ID: 4880598416 Enrollment ID: I20111122000464 |
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