George Idiculla Md,pa

NPI 1013289859 - Internal Medicine - 207R00000X

NPI Details
NPI 1013289859
Enumeration Date 02/08/2012
Last Updated 07/30/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GEORGE A GEORGE
Position PRESIDENT
Phone (321) 638-0888
Fax
Practice Location
1029 FLORIDA AVE S
ROCKLEDGE FL, 32955-2160, US
Phone (321) 638-0888
Fax
Business Location
1029 FLORIDA AVE S
ROCKLEDGE FL, 32955-2160, US
Phone (321) 638-0888
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0066869
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According to our database, George Idiculla Md,pa NPI is 1013289859, taxonomy code is 207R00000X and license number is ME0066869, license state is located at Florida. George Idiculla Md,pa physically located at 1029 Florida Ave S, Rockledge FL, 32955-2160. NPI Number 1033115704 has the healthcare provider type.

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1013289859 NPI number is provided on an as is basis without warranty of any kind. 1013289859 is maintained by the National Plan & Provider Enumeration System. The contents of George Idiculla Md,pa are for informational purposes only.