Provider Demographics
NPI:1346228574
Name:EHRINGER, GEORGE LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:LAWRENCE
Last Name:EHRINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 9671
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32120-9671
Mailing Address - Country:US
Mailing Address - Phone:386-676-7130
Mailing Address - Fax:386-676-7125
Practice Address - Street 1:1182 OCEAN SHORE BLVD
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-3799
Practice Address - Country:US
Practice Address - Phone:386-441-0600
Practice Address - Fax:386-441-6718
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045098207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1346228574OtherTRICARE
FL1346228574OtherMULTIPLAN
FLP00876530OtherRAILROAD
FL1346228574OtherVHN
FL68927OtherAETNA
FL34027OtherBCBS
FL043164800Medicaid
FL4577276OtherCIGNA
FL34027TMedicare PIN