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1891806642
GEORGE A IDICULLA
ROCKLEDGE, FL
NPI
1891806642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0066869)
Enumeration Date
2006-08-31
Last Update Date
2013-07-30
Business Address
Dr. GEORGE A IDICULLA MD
1029 FLORIDA AVE S
ROCKLEDGE, FL 32955-2160
Phone number: 321-638-0888
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Mailing Address
Dr. GEORGE A IDICULLA MD
1029 FLORIDA AVE S
ROCKLEDGE, FL 32955-2160
Phone number: 321-638-0888
Copy
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