Provider Demographics
NPI:1487483749
Name:GERGES, BISHOY MIKHAIL (ANESTHESIOLOGIST ASS)
Entity type:Individual
Prefix:
First Name:BISHOY
Middle Name:MIKHAIL
Last Name:GERGES
Suffix:
Gender:M
Credentials:ANESTHESIOLOGIST ASS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9330 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1808
Mailing Address - Country:US
Mailing Address - Phone:727-834-4000
Mailing Address - Fax:
Practice Address - Street 1:15026 ARBOR HOLLOW DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-3142
Practice Address - Country:US
Practice Address - Phone:201-417-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant