Provider Demographics
NPI:1225033608
Name:FISHER, GEORGE BRITON III (DO)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:BRITON
Last Name:FISHER
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 105TH AVE NORTH
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108
Mailing Address - Country:US
Mailing Address - Phone:239-431-7070
Mailing Address - Fax:239-431-7075
Practice Address - Street 1:875 105TH AVE NORTH
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108
Practice Address - Country:US
Practice Address - Phone:239-431-7070
Practice Address - Fax:239-431-7075
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7853207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL180038606OtherRAILROAD MEDICARE
FL49530OtherBLUE CROSS/BLUE SHIELD
FL256757100Medicaid
FL256757100Medicaid