Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME53238 | FL |
NPI | 1063589778 |
---|---|
Provider Name | Dr. George Morar |
First Address | Plantation, FL 33324 |
Second Address | Plantation, FL 33324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
37749 | BLUE CROSS (01) | FL |
3976553 | AETNA (01) | FL |
C54759 | (02) |