Individual
DR. JIBY OOMMEN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FAAP
Contact information
Practice address
735 PRIMERA BLVD STE 135, LAKE MARY, FL 32746-2149
(407) 321-0085
Mailing address
735 PRIMERA BLVD STE 135, LAKE MARY, FL 32746-2149
(407) 321-0085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
047232
CT
208000000X
Pediatrics Physician
205364
LA
208000000X
Pediatrics Physician
Primary
ME116204
FL
Other
Enumeration date
08/19/2008
Last updated
07/21/2022
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