Provider Demographics
NPI:1700464039
Name:GERSOWSKY, DANNY (DO)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:GERSOWSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5975 BUENA VISTA CT STE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-8202
Mailing Address - Country:US
Mailing Address - Phone:561-400-4554
Mailing Address - Fax:
Practice Address - Street 1:2815 SOUTH SEACREST BLVD
Practice Address - Street 2:BETHESDA HEALTH EAST, GME SUITE - EMERGENCY MEDICINE
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435
Practice Address - Country:US
Practice Address - Phone:561-479-6344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLOS21078207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program