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Individual

DR. GEORGE ROGER DUNKELBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709-1405
(727) 548-8500
(727) 317-3758
Mailing address
6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709-1405
(727) 548-8500
(727) 317-3758

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8970
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014675900
FL
01
37965
BCBS
FL
01
7260316
CIGNA
FL
01
P01450402
RAILROAD MEDICARE
FL
Enumeration date
04/12/2006
Last updated
02/23/2016
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