Individual
GEORGE T BESONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 N VOLUSIA AVE, ORANGE CITY, FL 32763-2833
(386) 774-0109
(386) 774-1203
Mailing address
2111 HONTOON RD, DELAND, FL 32720-4308
(386) 747-9771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME92729
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME92792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16012
BCBS
FL
05
—
274459700
—
FL
Enumeration date
07/11/2006
Last updated
12/11/2018
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