Individual
MR. MARK C GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15620 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4168
(239) 768-2057
(239) 768-2133
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-620
AL
Other
Enumeration date
04/11/2006
Last updated
10/26/2020
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