Most Relevant Information
Provider Data
| NPI Number: | 1003359076 |
| Provider Name: | GERALDE ST SURIN BRIDGES |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP 9248091 |
Most Important Dates
| Enumeration Date: | 11/23/2016 |
| Last Updated: | 11/23/2016 |
Provider Practice Location
6656 RIVERMILL CLUB DR
LAKE WORTH
FL
334637427
Practice Location Phone/Fax
| Phone: | 7863337375 |
| Fax: |
Provider Mailing Location
6656 RIVERMILL CLUB DR
LAKE WORTH
FL
334637427
Provider Mailing Phone/Fax
| Phone: | 7863337375 |
| Fax: |