Provider Demographics
NPI:1346219227
Name:PILAPIL, GEORGE G (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:G
Last Name:PILAPIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91988
Mailing Address - Street 2:135 E. FIRST STREET
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-4557
Mailing Address - Country:US
Mailing Address - Phone:863-686-2728
Mailing Address - Fax:863-687-3971
Practice Address - Street 1:135 E. FIRST STREET
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4557
Practice Address - Country:US
Practice Address - Phone:863-686-2728
Practice Address - Fax:863-687-3971
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33663208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038412700Medicaid
FL038412700Medicaid
FL53605Medicare ID - Type Unspecified