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Contact Information

GEORGE O MABRY JR, DPM
2194 HWY A1A
SUITE 108
INDIAN HARBOUR BEACH, FL32937-4930
 Phone: 321-777-9559
 Fax: 321-777-9558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GEORGE O MABRY JR · (Male)

NPI Number 1023079688
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/31/2006
Last updated 12/27/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # JR3863700
  • FL License # PO2788
  • FL Medicaid 340672500
  • FL Other 2900719 AETNA HMO/QPOS ID #
  • FL Other 7781081 AETNA PPO/POS ID #
  • FL Other 65612 BCBS ID
  • FL Other 0380220001 CIGNA ID #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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