Individual
GEORGE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6500 38TH AVE N, ST PETERSBURG, FL 33710-1629
(727) 341-4919
Mailing address
6500 38TH AVE N, ST PETERSBURG, FL 33710-1629
(727) 341-4919
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
16759
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
05/20/2025
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