Provider Demographics
NPI:1609820166
Name:GEIGEL, EDGAR J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:J
Last Name:GEIGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13800 VETERANS WAY
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7401
Mailing Address - Country:US
Mailing Address - Phone:407-631-1000
Mailing Address - Fax:407-513-9695
Practice Address - Street 1:13800 VETERANS WAY
Practice Address - Street 2:SUITE 2G
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7401
Practice Address - Country:US
Practice Address - Phone:407-631-1000
Practice Address - Fax:407-513-9695
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME77611207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46473YMedicare PIN