Individual
GEORGE HAYNES POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2629 EDGEWATER DR, ORLANDO, FL 32804-4459
(407) 857-6261
(407) 857-6241
Mailing address
2629 EDGEWATER DR, ORLANDO, FL 32804-4459
(407) 857-6261
(407) 857-6241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0053077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07135
BC/BC
FL
01
—
2730805
CIGNA
FL
01
—
30-0297065
TAX ID
FL
01
—
4219467
AETNA PROVIDER NUMBER
FL
Enumeration date
08/08/2006
Last updated
08/12/2020
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