Individual
MR. JORGE N DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HOUSE PHYSICIAN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5511
Mailing address
4830 SW 112TH AVE, MIAMI, FL 33165-6147
(305) 274-1480
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
HSE18318
FL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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