MEDICARE: DR. GEORGE LAWRENCE EHRINGER 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	207R00000X	Internal Medicine Physician	ME0045098	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1346228574	OTHER	FL	TRICARE
2	1346228574	OTHER	FL	MULTIPLAN
3	P00876530	OTHER	FL	RAILROAD
4	1346228574	OTHER	FL	VHN
5	68927	OTHER	FL	AETNA
6	34027	OTHER	FL	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	4577276	OTHER	FL	CIGNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346228574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE LAWRENCE EHRINGER M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 9671
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32120-9671
Country	:	US
Telephone Number	:	386-676-7130
Fax Number	:	386-676-7125

Provider Business Practice Location Address
First Line	:	1182 OCEAN SHORE BLVD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-3799
Country	:	US
Telephone Number	:	386-441-0600
Fax Number	:	386-441-6718

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	02/22/2016

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