Individual
GEORGE R AYCOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 N E ST, SUITE 331, PENSACOLA, FL 32501
(850) 484-6500
(850) 857-1747
Mailing address
1717 N E ST, SUITE 331, PENSACOLA, FL 32501-6339
(850) 484-6500
(850) 857-1747
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12442
AL
207RC0000X
Cardiovascular Disease Physician
Primary
ME44213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009965180
—
AL
05
—
0690937 00
—
FL
05
—
110241
—
AL
05
—
110310
—
AL
05
—
110312
—
AL
05
—
110445
—
AL
Enumeration date
07/27/2005
Last updated
03/07/2023
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