Basic Information
| Provider Information | |||||||||
| NPI: | 1134129976 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EASTERLING | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1950 ARLINGTON ST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342393507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413796331 | ||||||||
| FaxNumber: | 9413795443 | ||||||||
| Practice Location | |||||||||
| Address1: | 1950 ARLINGTON ST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342393507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413796331 | ||||||||
| FaxNumber: | 9413795443 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2005 | ||||||||
| LastUpdateDate: | 12/12/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME0059922 | FL | N | Other Service Providers | Specialist | 207V00000X | ME0059922 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.