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NPI Code Detail

MEDICARE: RAJI GEORGE APRN

MEDICARE: RAJI GEORGE APRN
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
1363LA2100XAcute Care Nurse Practitioner11014472FL

General Provider Information

NPI Number : 1841966918
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJI GEORGE APRN
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY # D
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-276-5685
Fax Number : 954-985-7074
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-265-7750
Fax Number : 954-276-0280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2021
Last Update Date : 03/11/2026

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