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GERALD L FITZGERALD MS MBA
NPI 1295551547
Counselor in Mims, FL

Active since December 02, 2024
3400 BURKHOM RD, MIMS, FL 32754(321) 503-2069 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gerald L Fitzgerald Ms Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD L FITZGERALD MS MBA (NPI 1295551547) is an individual counselor in Mims, Florida and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1295551547
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameGERALD L FITZGERALDCredential: MS MBA
Location Address3400 BURKHOM RDMims, FL 32754-5107
Mailing Address3400 Burkhom RdMims, FL 32754-5107 · (321) 503-2069
Phone(321) 503-2069
Sole ProprietorYes
Enumeration DateDecember 2, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1295551547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3400 BURKHOM RD, Mims, FL 32754
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Frequently Asked Questions

What is Gerald Fitzgerald's NPI number?

The NPI number assigned to this healthcare provider is 1295551547, enumerated as an "individual" on December 02, 2024.

Where is the provider located?

The provider is located at 3400 BURKHOM RD MIMS, FL 32754 and the phone number is (321) 503-2069.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.