Provider Demographics
NPI:1710952486
Name:COUTURIER, GEORG JOSEF (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORG
Middle Name:JOSEF
Last Name:COUTURIER
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 1:1149 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-7721
Mailing Address - Country:US
Mailing Address - Phone:352-674-2080
Mailing Address - Fax:352-674-2217
Practice Address - Street 1:8575 NE 138TH LN STE 203
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8996
Practice Address - Country:US
Practice Address - Phone:352-674-2080
Practice Address - Fax:352-674-2178
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94811207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305154OtherAMERIGROUP MCD PROV ID #
FL32646OtherBCBS OF FL PROV ID #
FL274810000Medicaid
FLP00292947OtherRAILROAD MEDICARE
FL5016744OtherCIGNA PROV ID #
FL274810000Medicaid