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Organization
J.A. PROFESSIONAL SERVICES, INC.
Active
Organization
J.A. PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE H AGUIRRE RADIOLOGIC TECHNOLOG (OWNER)
(305) 358-6705
Entity
Organization
Contact information
Practice address
540 BRICKELL KEY DR, SUITE1209, MIAMI, FL 33131-2697
(305) 358-6705
(305) 372-1092
Mailing address
540 BRICKELL KEY DR, SUITE1209, MIAMI, FL 33131-2697
(305) 358-6705
(305) 372-1092
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
33322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V1882
PROVIDER BC & BS
FL
Enumeration date
10/03/2006
Last updated
08/13/2007
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