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Individual

DR. GEORGE BOULOS BISHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME115482
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME115482
FL
208000000X
Pediatrics Physician
ME115482
FL

Other

Enumeration date
07/14/2009
Last updated
11/03/2014
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