George, Richard W

George, Richard W is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. George, Richard W can be contacted via phone (321) 842-8475.

Contact Information

Primary practice address
52 W Underwood St Orlando FL 32806-1110
Phone: (321) 842-8475
Fax: (407) 849-6470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME79789 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME79789 Florida

Profile Details

NPI number 1043207137
LBN Legal business name George, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043207137 NPPES
Florida MEDICAID 258573100
Florida Other 49713X
Florida Other 49713
Florida Other PS610

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