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NPI Code Detail

MEDICARE: ROBERT JAMES GEORGE DO

MEDICARE: ROBERT JAMES GEORGE DO
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
1207P00000XEmergency Medicine PhysicianOS6741FL
2207P00000XEmergency Medicine Physician34001900OH
3207Q00000XFamily Medicine PhysicianOS6741FL
4207Q00000XFamily Medicine Physician34001900OH

General Provider Information

NPI Number : 1558555292
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JAMES GEORGE DO
Provider Business Mailing Address
First Line : 5000 LAKEWOOD RANCH BLVD
Second Line : LAKE ERIE COLLEGE OSTEOPATHIC MEDICINE BRADENTON CAMPUS
City : BRADENTON
State : FL
Zip : 34211-4909
Country : US
Telephone Number : 941-782-5657
Fax Number : 941-782-5737
Provider Business Practice Location Address
First Line : 5000 LAKEWOOD RANCH BLVD
Second Line : LAKE ERIE COLLEGE OSTEOPATHIC MEDICINE BRADENTON CAMPUS
City : BRADENTON
State : FL
Zip : 34211-4909
Country : US
Telephone Number : 941-782-5657
Fax Number : 941-782-5737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 09/05/2007

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