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Organization
JORGE A AGUILAR MD PA
Active
Organization
JORGE A AGUILAR MD PA
Active
Other names
Jorge Jacksonville Co
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A AGUILAR MD (MD PRESIDENT)
(904) 241-8300
Entity
Organization
Contact information
Practice address
905 BEACH BLVD, JACKSONVILLE BEACH, FL 32250
(904) 241-8300
(904) 241-0831
Mailing address
905 BEACH BLVD, JACKSONVILLE BEACH, FL 32250
(904) 241-8300
(904) 241-0831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049551400
—
FL
01
—
45775
BCBS GROUP
FL
01
—
69933
AETNA GROUP
FL
01
—
K1966
MEDICARE GROUP
FL
Enumeration date
05/03/2006
Last updated
12/15/2009
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