Doctor Name: | GEORGE RINCON |
NPI Number: | 1194731075 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ACN186 |
Business Practice Address: | 224 Se 24th Street Gainesville, FL - 326411327 |
Business Phone Number: | 3523347900 |
Business Fax Number: | 3529552126 |
Mailing Address: | 1536 Sw Mockingbird Cir, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349862047 |
Phone Number: | 7724087297 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 08/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN186 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |