Provider Demographics
NPI:1942211859
Name:BATTLE, GEORGE FREEMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FREEMAN
Last Name:BATTLE
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 1:9000 SW 152ND ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1981
Mailing Address - Country:US
Mailing Address - Phone:305-255-1362
Mailing Address - Fax:305-251-5520
Practice Address - Street 1:9000 SW 152ND ST
Practice Address - Street 2:SUITE 202
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1981
Practice Address - Country:US
Practice Address - Phone:305-255-1362
Practice Address - Fax:305-251-5520
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38102207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068264100Medicaid
FL003342OtherAVMED
FL0567BAPTISTOtherNEIGHBORHOOD HEALTH PARTN
FL95851OtherBLUE CROSS BLUE SHIELD
FL95851Medicare ID - Type Unspecified
FL068264100Medicaid