Provider Demographics
NPI:1487975348
Name:GERRY N. DANKENBRING ARNP PA
Entity type:Organization
Organization Name:GERRY N. DANKENBRING ARNP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:DANKENBRING
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:772-349-0577
Mailing Address - Street 1:2496 NE ELAINE ST
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-5802
Mailing Address - Country:US
Mailing Address - Phone:772-349-0577
Mailing Address - Fax:
Practice Address - Street 1:2496 NE ELAINE ST
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-5802
Practice Address - Country:US
Practice Address - Phone:772-349-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9176439251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty