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Individual

DR. GEORGE R. TERSHAKOVEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
975 BAPTIST WAY STE 201, HOMESTEAD, FL 33033-7600
(786) 243-8701
(786) 243-8700
Mailing address
6463 SW 131ST ST, PINECREST, FL 33156-7034
(305) 794-7798

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME039114
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266264700
FL
Enumeration date
09/26/2006
Last updated
05/08/2025
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