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NPI Code Detail

MEDICARE: GEORGE G FEUSSNER MD PA

MEDICARE: GEORGE G FEUSSNER MD PA
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
12084N0400XNeurology PhysicianME0019836FL

Other Identifiers

General Provider Information

NPI Number : 1346348281
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGE G FEUSSNER MD PA
Provider Business Mailing Address
First Line : 7106 NW 11TH PLACE
Second Line : SUITE A
City : GAINESVILLE
State : FL
Zip : 32605-3157
Country : US
Telephone Number : 352-331-6430
Fax Number : 352-331-3515
Provider Business Practice Location Address
First Line : 7106 NW 11TH PLACE
Second Line : SUITE A
City : GAINESVILLE
State : FL
Zip : 32605-3157
Country : US
Telephone Number : 352-331-6430
Fax Number : 352-331-3515
Authorized Official
Title or Position : OWNER PRESIDENT
Name : DR. GEORGE G FEUSSNER
Credential : MD
Telephone Number : 352-331-6430
Provider Enumeration Date : 09/21/2006
Last Update Date : 06/18/2012

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