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Individual

JERIN GEORGE

Active
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Individual

JERIN GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02007828A
IN
207R00000X
Internal Medicine Physician
OS16808
FL
207RC0000X
Cardiovascular Disease Physician
Primary
02007828A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106517700
FL
01
OS16808
FLORIDA MEDICAL LICENSE
FL
01
T1709
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/27/2017
Last updated
08/15/2024
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