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Individual

EDWARD L GERMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Mailing address
12371 JEWEL STONE LN, FORT MYERS, FL 33913-6750
(239) 822-0021

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME93444
FL
208000000X
Pediatrics Physician
ME93444
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16351
BC/BS
FL
Enumeration date
10/31/2005
Last updated
11/19/2013
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