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Organization
JCARRIAZO MD P.L.L.C.
Active
Organization
JCARRIAZO MD P.L.L.C.
Active
Other names
INTEGRA HEALTH MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE CARRIAZO ISASI MD (MEDICAL DIRECTOR)
(786) 326-8080
Entity
Organization
Contact information
Practice address
2 S UNIVERSITY DR, PLANTATION, FL 33324-3355
(786) 564-1116
Mailing address
14998 SW 37TH ST, DAVIE, FL 33331-2747
(786) 564-1116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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