Provider Demographics
NPI:1699915785
Name:TREASURE COAST INFECTIOUS DISEASE CONSULTANTS
Entity type:Organization
Organization Name:TREASURE COAST INFECTIOUS DISEASE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-770-2664
Mailing Address - Street 1:3715 7TH TER
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6571
Mailing Address - Country:US
Mailing Address - Phone:772-770-2664
Mailing Address - Fax:772-770-3506
Practice Address - Street 1:3715 7TH TER
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6571
Practice Address - Country:US
Practice Address - Phone:772-770-2664
Practice Address - Fax:772-770-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty