Organization · Type 2 NPI
George R Ikeler MD PA
Rural Health Clinic/Center · Sorrento, FL
NPI number
1104098565
Active
Practice location
31450 Church Street
Sorrento, FL 32776-9594
Fax (352) 735-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | ME12314 (FL) |
Rural Health Clinic/Center: Definition to come...
About NPI 1104098565
George R Ikeler MD PA's National Provider Identifier is 1104098565, issued on Mar 26, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Sorrento, FL. The record was last updated on Jul 15, 2008.