G Brock Magruder Jr Md Pa

NPI 1013214261 - Ophthalmology - 207W00000X

NPI Details
NPI 1013214261
Enumeration Date 02/24/2011
Last Updated 01/13/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GEORGE B. GEORGE
Position MEDICAL DIRECTOR
Phone (407) 843-5665
Fax (407) 872-7939
Practice Location
120 E PAR ST
SUITE 2000
ORLANDO FL, 32804-3943, US
Phone (407) 843-5665
Fax (407) 872-7939
Business Location
120 E PAR ST
SUITE 2000
ORLANDO FL, 32804-3943, US
Phone (407) 843-5665
Fax (407) 872-7939
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number ME56293
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According to our database, G Brock Magruder Jr Md Pa NPI is 1013214261, taxonomy code is 207W00000X and license number is ME56293, license state is located at Florida. G Brock Magruder Jr Md Pa physically located at 120 E Par St, Orlando FL, 32804-3943. NPI Number 1033115704 has the healthcare provider type.

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1013214261 NPI number is provided on an as is basis without warranty of any kind. 1013214261 is maintained by the National Plan & Provider Enumeration System. The contents of G Brock Magruder Jr Md Pa are for informational purposes only.