Individual
DR. GEORGE GLENN LE-BERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 S 18TH ST STE 202, FERNANDINA BEACH, FL 32034-4729
(904) 261-9786
(904) 376-3203
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS10063
FL
207UN0901X
Nuclear Cardiology Physician
OS10063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000794000
—
FL
01
—
P00944481
RAILROAD MEDICARE
FL
Enumeration date
07/12/2007
Last updated
11/06/2025
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