Mandybur, George Timothy

Mandybur, George Timothy is an individual health care provider with primary practice located at 13685 Doctors Way Ste 350 , Fort Myers FL 33912-4347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mandybur, George Timothy can be contacted via phone (239) 343-3800.

Contact Information

Primary practice address
13685 Doctors Way Ste 350 Fort Myers FL 33912-4347
Phone: (239) 343-3800
Fax: (239) 343-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME159756 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35083759 Ohio

Profile Details

NPI number 1437188596
LBN Legal business name Mandybur, George Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Mar 20th, 2024 - about 8 months ago

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 1437188596 NPPES
Florida MEDICAID 116114500

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