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Individual
GEORGE E NACKLEY
Active
Individual
GEORGE E NACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0062609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17917
BLUE CROSS BLUE SHIELD
—
05
—
371268100
—
FL
01
—
P00136519
RAILROAD MEDICARE
—
Enumeration date
12/30/2005
Last updated
10/03/2013
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