Individual
CLETUS ROY GEORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40107 HIGHWAY 27, DAVENPORT, FL 33837-5901
(407) 599-9899
Mailing address
1420 CELEBRATION BLVD STE 308, CELEBRATION, FL 34747-5161
(407) 566-9899
(407) 566-9893
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME73722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112370600
—
FL
01
—
Q00261096
RAILROAD MEDICARE
FL
Enumeration date
07/06/2006
Last updated
12/27/2022
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