Individual
JORGE GOVIN AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
8814 NW 180TH TER, HIALEAH, FL 33018-6503
(786) 390-4789
Mailing address
8814 NW 180TH TER, HIALEAH, FL 33018-6503
(786) 390-4789
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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