Provider Demographics
NPI:1295052942
Name:GEORGES, PRAD A (MS)
Entity type:Individual
Prefix:MR
First Name:PRAD
Middle Name:A
Last Name:GEORGES
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 SABAL PALM CIR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-2676
Mailing Address - Country:US
Mailing Address - Phone:305-763-2295
Mailing Address - Fax:
Practice Address - Street 1:644 SABAL PALM CIR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-2676
Practice Address - Country:US
Practice Address - Phone:305-763-2295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist