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Individual

JORGE A URIBE EUSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
Mailing address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME113604
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME113604
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014675300
FL
05
1093966657
VA
Enumeration date
10/01/2008
Last updated
11/28/2023
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