Individual
DR. GEORGE RAJA DIBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 ROBERTS DR STE 101, JACKSONVILLE BEACH, FL 32250-3253
(904) 241-7147
(904) 376-3213
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E7683
AR
207R00000X
Internal Medicine Physician
ME132436
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME132436
FL
207UN0901X
Nuclear Cardiology Physician
ME132436
FL
Other
Enumeration date
06/11/2009
Last updated
11/13/2025
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