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GEORGE IDICULLA MD,PA
NPI 1013289859
Internal Medicine in Rockledge, FL

Active since February 08, 2012
1029 FLORIDA AVE S, ROCKLEDGE, FL 32955(321) 638-0888 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About George Idiculla Md,pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE IDICULLA MD,PA (NPI 1013289859) is a healthcare organization registered as an internal medicine in Rockledge, Florida and active in the NPI registry since February 2012. The organization lists George A Idiculla, President, as its authorized official.

NPPES Registry Identity

NPI1013289859
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGEORGE IDICULLA MD,PA
Location Address1029 FLORIDA AVE SRockledge, FL 32955-2160
Mailing Address1029 Florida Ave SRockledge, FL 32955-2160 · (321) 638-0888
Phone(321) 638-0888
Organization SubpartNo
Authorized OfficialGeorge A IdicullaPresident · (321) 638-0888
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJuly 30, 2013
✔ NPI 1013289859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0066869
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1029 FLORIDA AVE S, Rockledge, FL 32955
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Other Identifiers 3

Medicare UPINF94395FL
Medicaid376630600FL
Medicare PINGJ645AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0917821

George Idiculla MD · Rockledge, FL
Expired · Jul 25, 2026
CLIA Number10D0917821
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorGeorge Idiculla
Laboratory Phone(321) 638-0888
Laboratory LocationGeorge Idiculla MD1029 South Florida Ave, Rockledge, FL 32955
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE A IDICULLA MD
Internal Medicine
1029 FLORIDA AVE S
ROCKLEDGE, FL 32955
Brevard County (321) 638-0888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Idiculla Md,pa's NPI number?

The NPI number for George Idiculla Md,pa is 1013289859. It was assigned to this organization in the NPPES registry on February 8, 2012.

Where is George Idiculla Md,pa located?

George Idiculla Md,pa is located at 1029 Florida Ave S, Rockledge, FL 32955. The listed phone number is (321) 638-0888.

What is George Idiculla Md,pa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for George Idiculla Md,pa was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.