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

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XME12314 (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.