MEDICARE: MR. MARK C GEORGE PA-C

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	363AM0700X	Medical Physician Assistant	PA-620	AL

General Provider Information

NPI Number	:	1679536510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK C GEORGE PA-C

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:	239-599-2612

Provider Business Practice Location Address
First Line	:	15620 NEW HAMPSHIRE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4168
Country	:	US
Telephone Number	:	239-768-2057
Fax Number	:	239-768-2133

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	10/26/2020

Similar Medicare Providers

1588658306 — MRS. BONNIE LOU KOKAL CRNA
Practice Location Address:

15620 NEW HAMPSHIRE CT
FORT MYERS, FL
33908-4168

Practice Phone: 239-481-9995
Practice Fax:

1255325080 — EYELID SURGERY CENTER, LLC
Practice Location Address:

15620 NEW HAMPSHIRE CT
FORT MYERS, FL
33908-4168

Practice Phone: 239-481-9995
Practice Fax: 239-481-9745

1275527095 — OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA
Practice Location Address:

15620 NEW HAMPSHIRE CT
FORT MYERS, FL
33908-4168

Practice Phone: 239-481-9995
Practice Fax: 239-481-9745

1942277280 — MARK E GILLESPIE MD
Practice Location Address:

15640 NEW HAMPSHIRE CT
FORT MYERS, FL
33908-4168

Practice Phone: 239-466-2020
Practice Fax:

1487615704 — DR. THOMAS AARON JUDD O.D.
Practice Location Address:

15640 NEW HAMPSHIRE CT
FORT MYERS, FL
33908-4168

Practice Phone: 239-466-3111
Practice Fax: 239-466-9499

1083677926 — DR. JEFFREY N MARTIN D.O.
Practice Location Address:

15620 NEW HAMPSHIRE CT
FORT MYERS, FL
33908-4168

Practice Phone: 239-768-2057
Practice Fax: 239-768-2133

Directions to “ MR. MARK C GEORGE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.