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Organization
JULIO JORGE MD PA
Active
Organization
JULIO JORGE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J LOPEZ (BILLING AGENT)
(305) 251-3991
Entity
Organization
Contact information
Practice address
9560 SW 107TH AVE, SUITE A104, MIAMI, FL 33176-2787
(305) 596-1913
(305) 598-6788
Mailing address
9560 SW 107TH AVE, SUITE A104, MIAMI, FL 33176-2787
(305) 596-1913
(305) 598-6788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0064851
FL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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