Individual
GEORGE MIQUEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE 505, JACKSONVILLE, FL 32216-4252
(904) 399-8090
(904) 399-8086
Mailing address
3599 UNIVERSITY BLVD S, SUITE 505, JACKSONVILLE, FL 32216-4252
(904) 399-8090
(904) 399-8086
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0040784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15726
BLUE CROSS BLUE SHIELD
FL
01
—
592228181
HUMANA
FL
Enumeration date
10/18/2006
Last updated
08/06/2012
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