MEDICARE: DR. GEORGE FRANK MORICZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	H2483	TX
2	207Q00000X	Family Medicine Physician	ME125779	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002193033004	OTHER		UNITED HEALTHCARE
2	7638320	OTHER		AETNA
3	99442	OTHER	AR	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	82HP	OTHER	TX	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215931902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE FRANK MORICZ M.D.

Provider Business Mailing Address
First Line	:	1575 PINE RIDGE RD STE 19
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2110
Country	:	US
Telephone Number	:	855-778-6262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 PINE RIDGE RD STE 19
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2110
Country	:	US
Telephone Number	:	855-778-6262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	12/09/2020

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