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Organization
TIBBAR MEDICAL PLLC
Active
Organization
TIBBAR MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKELINE T GOMEZ JORGE MD (MANAGER)
(305) 962-8375
Entity
Organization
Contact information
Practice address
401 MIRACLE MILE, SUITE 103, CORAL GABLES, FL 33134
(305) 962-8375
Mailing address
401 MIRACLE MILE, SUITE 103, CORAL GABLES, FL 33134
(305) 962-8375
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME 66752
FL
Other
Enumeration date
04/04/2011
Last updated
01/13/2017
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