Doctor Name: | DR. GEORGE ROBERT TZETZO |
NPI Number: | 1417103003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME83242 |
Business Practice Address: | 3108 Del Prado Blvd S Ste 1&2 Cape Coral, FL - 339047226 |
Business Phone Number: | 2395413472 |
Business Fax Number: | 2395403473 |
Mailing Address: | 3108 Del Prado Blvd S Ste 1&2, CAPE CORAL |
State: | FL |
Postal Code: | 339047226 |
Phone Number: | 2395413472 |
Fax Number: | 2395403473 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME83242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |