Provider Demographics
NPI:1639156086
Name:CORRENT, GEORGE F (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:F
Last Name:CORRENT
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BARKLEY CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7530
Mailing Address - Country:US
Mailing Address - Phone:239-985-7171
Mailing Address - Fax:239-985-7118
Practice Address - Street 1:44 BARKLEY CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7530
Practice Address - Country:US
Practice Address - Phone:239-985-7171
Practice Address - Fax:239-985-7118
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50295207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07854OtherBLUE CROSS BLUE SHIELD
P00167352OtherRAILROAD MEDICARE
FLPH218OtherPTAN
FLR1397OtherPTAN
FL042736500Medicaid
FL07854OtherBLUE CROSS BLUE SHIELD
FLP01445153OtherRAIL ROAD MEDICARE FRANTZ EYECARE
FLP01445153OtherRAIL ROAD MEDICARE FRANTZ EYECARE