Organization
GEORGE R IKELER, M.D P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE RAYMOND IKELER M.D (PRESIDENT)
(352) 735-4044
Entity
Organization
Contact information
Practice address
31450 CHURCH ST, SORRENTO, FL 32776-9594
(352) 735-4044
(352) 735-2536
Mailing address
31450 CHURCH ST, SORRENTO, FL 32776-9594
(352) 735-4044
(352) 735-2536
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME12314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043349700
—
FL
Enumeration date
08/06/2009
Last updated
02/05/2013
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