Individual
JORGE MIGUEL TOLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
23850 VIA ITALIA CIR APT 1906, ESTERO, FL 34134-7148
(239) 301-8000
(239) 236-0738
Mailing address
23850 VIA ITALIA CIR APT 1906, ESTERO, FL 34134-7148
(239) 301-8000
(239) 236-0738
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS5907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376086300
—
FL
01
—
OS-5907
STATE MEDICAL LICENSE
FL
Enumeration date
12/05/2011
Last updated
03/09/2023
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