Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH5624 | FL |
NPI | 1700089208 |
---|---|
Provider Name | Dr. George Martin Naruns |
First Address | St Petersburg, FL 33703-4312 |
Second Address | St Petersburg, FL 33710-4236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 08/07/2007 |