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Organization

GEORGE R TERSHAKOVEC MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE R TERSHAKOVEC M.D. (OWNER)
(786) 243-8701
Entity
Organization

Contact information

Practice address
975 BAPTIST WAY STE 201, HOMESTEAD HOSPITAL, HOMESTEAD, FL 33033-7600
(786) 243-8701
(786) 243-8700
Mailing address
975 BAPTIST WAY STE 201, HOMESTEAD HOSPITAL, HOMESTEAD, FL 33033-7600
(786) 243-8701
(786) 243-8700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME039114
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34580
BCBS
FL
Enumeration date
11/08/2007
Last updated
02/26/2008
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