Organization Active NPI

Gurkirpal S Shergill MD PA

  • Legal Medicine
  • Haines City, FL
National Provider Identifier
1760588966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME0077030 Issued in FL
Legal business name
GURKIRPAL S SHERGILL MD PA
Practice address
295 Patterson Rd
Haines City, FL 33844
Phone
(863) 293-3909
Fax
(863) 293-1909
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gurkirpal Gill, MD
Title
Owner
Phone
(863) 293-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X ME0077030 FL Primary

Addresses

Primary practice location

295 Patterson Rd
Haines City, FL 33844

Mailing address

295 Patterson Rd
Haines City, FL 33844
Phone (863) 293-3909

National Provider Directory

National Provider Directory

Locations

120 Patterson Rd
Haines City, FL 33844
Phone (863) 422-4338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760588966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PATTERSON RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-293-3909",
            "fax_number": "863-293-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PATTERSON RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-293-3909",
            "fax_number": "863-293-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURKIRPAL S SHERGILL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "GURKIRPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-293-3909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME0077030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.