GEORGE R IKELER MD PA (NPI# 1104098565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104098565 |
| Entity Type | Organization |
| Organization Name | GEORGE R IKELER MD PA |
| Other Organization Name | SORENTO MEDICAL CLINIC |
| Practice Address |
31450 Church Street Sorrento FL 32776-9594 |
| Practice Telephone | 3527354044 |
| Practice Fax Number | 3527352536 |
| Mailing Telephone | 3527354044 |
| Mailing Fax Number | 3527352536 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | GEORGE R IKELER (OWNER) |
| Authorized Official Telephone | 3527354044 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
ME12314 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sorento Medical Clinic | Doing Business As Name - Organization |
| Street Address |
31450 CHURCH STREET |
| City | SORRENTO |
| State | FL |
| Zip Code | 32776-9594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831576743 | R & A Gupta LLC | Assisted Living Facility | 25444 State Road 46, Suite #3, Sorrento, FL 32776 | 2015-04-29 |
| 1952703852 | Crystal Cipriani | Massage Therapist | 32310 Oak Bluff Drive, Sorrento, FL 32776 | 2014-09-23 |
| 1063641926 | Silvia Perez | Specialist | 32636 County Road 437, Sorrento, FL 32776-1213 | 2009-07-13 |
| 1780947358 | Robert Brian Sindler | Veterinarian | 6644 Swain Rd, Sorrento, FL 32776-6700 | 2012-06-19 |
| 1184047375 | Michelle Ferrantino | Occupational Therapy Assistant | 34113 Cordoba Ln, Sorrento, FL 32776-6901 | 2014-01-24 |
| 1174915334 | Childs Hope Nursing Service and Homecard | Skilled Nursing Facility | 34315 Alicante Ct, Sorrento, FL 32776-6913 | 2015-02-25 |
| 1053510024 | Felecia Michelle Freeman | Registered Nurse | 33820 Terragona Dr, Sorrento, FL 32776-6917 | 2007-07-11 |
| 1366614596 | Gary Eugene Perigo | Specialist | 34001 Terragona Dr, Sorrento, FL 32776-6926 | 2008-03-27 |
| 1841606159 | Kettelie Najac | Counselor | 23515 Valderama Ln, Sorrento, FL 32776-6937 | 2014-07-08 |
| 1801385505 | Marianne's Legacy Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23515 Valderama Ln, Sorrento, FL 32776-6937 | 2018-05-08 |
| Find all providers in zip 32776 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.