Provider Demographics
NPI:1649284878
Name:STURN, GARY M (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:M
Last Name:STURN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:631 PALM SPRINGS DRIVE
Mailing Address - Street 2:SUITE #117
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7854
Mailing Address - Country:US
Mailing Address - Phone:407-339-5600
Mailing Address - Fax:407-339-5602
Practice Address - Street 1:631 PALM SPRINGS DRIVE
Practice Address - Street 2:SUITE #117
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7854
Practice Address - Country:US
Practice Address - Phone:407-339-5600
Practice Address - Fax:407-339-5602
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0069723207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31659YMedicare ID - Type Unspecified
FLF55251Medicare UPIN