G Brock Magruder Jr MD PA

NPI #1013214261 in Orlando, Florida

Provider Information

NPI Number: 1013214261
Entity Type: Organization
Organization Name: G Brock Magruder Jr MD PA
Primary Specialty: Ophthalmology
Enumeration Date: Feb 24, 2011
Last Updated: Jan 13, 2012

Practice Location

Address: 120 E PAR ST
Address 2: SUITE 2000
City: Orlando
State: Florida
ZIP Code: 32804-3943
Phone: (407) 843-5665

Authorized Official

Name: DR. GEORGE B. MAGRUDER II, M.D.
Title: MEDICAL DIRECTOR
Phone: (407) 843-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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