person
Dr. George Otto Mabry Jr, DPM
Radiology Podiatrist in Indian Harbour Beach, Florida
NPI 1023079688

George Otto Mabry Jr is a Radiology Podiatrist based in Indian Harbour Beach, FL and is specialized in Radiology. George Otto Mabry Jr practices in Indian Harbour Beach, FL and has the professional credentials of DPM. The NPI Number for George Otto Mabry Jr is 1023079688 and holds a License No. PO2788 (Florida).

The current practice location address for George Otto Mabry Jr is 2194 Hwy A1A, Indian Harbour Beach, FL and can be reached out via phone at 321-777-9559 and via fax at 321-777-9558.

Location: 2194 Hwy A1A, Indian Harbour Beach, FL, 32937-4930
person
Provider Profile Details
NPI Number
1023079688
Provider Name
George Otto Mabry Jr
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2194 Hwy A1A, Indian Harbour Beach, FL, 32937-4930
Phone Number
321-777-9559
Fax Number
321-777-9558
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65612 01 FL BCBS ID
2900719 01 FL AETNA HMO/QPOS ID #
7781081 01 FL AETNA PPO/POS ID #
340672500 05 FL
0380220001 01 FL CIGNA ID #
institution
Provider Business Practice Location Address Details
Address
2194 Hwy A1A
City
State
Zip
32937-4930
Phone Number
321-777-9559
Fax Number
321-777-9558
person
Provider Business Mailing Address Details
Address
2194 Hwy A1A
City
State
Zip
32937-4930
Phone Number
321-777-9559
Fax Number
321-777-9558
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
JR3863700 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
PO2788 (Florida)
Definition
Definition to come...
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