National Provider Identifier Database

JACOB GERZENSHTEIN, MD – NPI #1710041231
Plastic and Reconstructive Surgery

Contact Information

JACOB GERZENSHTEIN, MD
4429 FLORIDA NATIONAL DR
LAKELAND, FL  33813-1516
Phone: 863-647-2200
Fax: 888-854-1888
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Plastic Surgery Within the Head and Neck 2082S0099X
Surgery of the Hand 2082S0105X
Undersea and Hyperbaric Medicine 2083P0011X
Undersea and Hyperbaric Medicine 207PE0005X

* Indicates primary specialty

NPI Profile & details for JACOB GERZENSHTEIN

NPI Number 1710041231
Credentials MD
Entity Individual
Enumeration date 12/20/2006
Last updated 05/04/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • FL License #: ME95719
  • IL License #: 036-103717
  • WI License #: 47912
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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