Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald Derise, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720025935

Gerald Derise, CRNA is a Certified Registered Nurse Anesthetist in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

325 Avenue B NW
Winter Haven, FL 33881-4651
Phone: (863) 291-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 573282 (FL)

Record details

NPI number1720025935
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESMay 24, 2010
Mailing addressPo Box 917110, Orlando, FL 32891-7110

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