Individual
GEORGE RAYMOND IKELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31450 CHURCH ST, SORRENTO, FL 32776-9594
(352) 735-4033
(352) 735-2536
Mailing address
31450 CHURCH ST, SORRENTO, FL 32776-9594
(352) 735-4044
(352) 735-2536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME12314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043349700
—
FL
Enumeration date
06/27/2006
Last updated
05/24/2011
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