George R Ikeler MD PA
Organization Active NPI Rural Health Clinic/Center · Sorrento, FL
NPI 1104098565 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1104098565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- ME12314 (FL)
- Legal business name
- GEORGE R IKELER MD PA
- Practice address
- 31450 Church Street
Sorrento, FL 32776-9594 - Phone
- (352) 735-4044
- Fax
- (352) 735-2536
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
Authorized official
- Name
- George R Ikeler, MD
- Title
- Owner
- Phone
- (352) 735-4044
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | ME12314 | FL | Yes |
Addresses
Primary practice location
31450 Church Street
Sorrento, FL 32776-9594
Mailing address
31450 Church Street
Sorrento, FL 32776-9594
Phone (352) 735-4044
Other names
- Sorento Medical Clinic
Other providers in Sorrento, FL
- Nicole Kinis Dorsey
- Easter Seals Florida, Inc.
- Angelia Etheredge
- Michelle Ferrantino
- Felecia Michelle Freeman
- George R Ikeler, M.D P.a.
- Linda Marie Gibson-Young
- Sharon L Harrison
- Ronald E Holman
- George Raymond Ikeler
All providers in Sorrento, FL · Rural Health Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.