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NPI Code Detail

MEDICARE: JEAN GEORGE

MEDICARE:   JEAN  GEORGE
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
1122300000XDentistDN24110FL

General Provider Information

NPI Number : 1326608589
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN GEORGE
Provider Business Mailing Address
First Line : 2511 W SWANN AVE STE 103
Second Line :
City : TAMPA
State : FL
Zip : 33609-4048
Country : US
Telephone Number : 813-284-0551
Fax Number :
Provider Business Practice Location Address
First Line : 2511 W SWANN AVE STE 103
Second Line :
City : TAMPA
State : FL
Zip : 33609-4048
Country : US
Telephone Number : 813-284-0551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 11/05/2025

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Directions to “ JEAN GEORGE ” Practice Location

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