Individual
MICHAEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 772-6513
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME963210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16946
FL BCBS
FL
05
—
273816300
—
FL
01
—
297614
AMERIGROUP
FL
01
—
7676789
AETNA
FL
Enumeration date
05/20/2006
Last updated
03/27/2025
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