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NPI Code Detail

MEDICARE: DR. CHRISTINE GEORGE-WRAY MD

MEDICARE: DR. CHRISTINE GEORGE-WRAY MD
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
1208000000XPediatrics PhysicianME68602FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588650055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE GEORGE-WRAY MD
Provider Business Mailing Address
First Line : 7668 NW 50TH CT
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-2052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 CORAL HILLS DR
Second Line : CORAL SPRINGS PEDIATRICS DEPT.
City : CORAL SPRINGS
State : FL
Zip : 33065-4108
Country : US
Telephone Number : 954-344-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/15/2015

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