MEDICARE: DR. GEORGE BRITON FISHER III D.O.

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	207W00000X	Ophthalmology Physician	OS7853	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180038606	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	49530	OTHER	FL	BLUE CROSS/BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225033608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE BRITON FISHER III D.O.

Provider Business Mailing Address
First Line	:	875 105TH AVE NORTH
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108
Country	:	US
Telephone Number	:	239-431-7070
Fax Number	:	239-431-7075

Provider Business Practice Location Address
First Line	:	875 105TH AVE NORTH
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108
Country	:	US
Telephone Number	:	239-431-7070
Fax Number	:	239-431-7075

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/07/2009

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