Provider Information for 1295052942
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Mr. PRAD A GEORGES MS
Sex: Male
NPI: 1295052942
Last Updated: 2010-04-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295052942 | ||||||||
| Enumeration Date | 2010-04-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 644 SABAL PALM CIR ALTAMONTE SPRINGS, FL 32701-2676 United States Phone: 305-763-2295 | Fax: | ||||||||
| Primary Practice Address | 644 SABAL PALM CIR ALTAMONTE SPRINGS, FL 32701-2676 United States Phone: 305-763-2295 | Fax: | ||||||||
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