Individual
DR. GEORGE OTTO MABRY JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2194 HWY A1A, SUITE 108, INDIAN HARBOUR BEACH, FL 32937-4930
(321) 777-9559
(321) 777-9558
Mailing address
2194 HWY A1A, SUITE 108, INDIAN HARBOUR BEACH, FL 32937-4930
(321) 777-9559
(321) 777-9558
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2788
FL
213ER0200X
Radiology Podiatrist
JR3863700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380220001
CIGNA ID #
FL
01
—
2900719
AETNA HMO/QPOS ID #
FL
05
—
340672500
—
FL
01
—
65612
BCBS ID
FL
01
—
7781081
AETNA PPO/POS ID #
FL
Enumeration date
03/31/2006
Last updated
12/27/2016
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