George Idiculla Md,pa

NPI #1013289859 in Rockledge, Florida

Provider Information

NPI Number: 1013289859
Entity Type: Organization
Organization Name: George Idiculla Md,pa
Primary Specialty: Internal Medicine
Enumeration Date: Feb 8, 2012
Last Updated: Jul 30, 2013

Practice Location

Address: 1029 FLORIDA AVE S
City: Rockledge
State: Florida
ZIP Code: 32955-2160
Phone: (321) 638-0888

Authorized Official

Name: DR. GEORGE A IDICULLA, M.D
Title: PRESIDENT
Phone: (321) 638-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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