Individual
DR. JORGE LUIS VERDECIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1003
(904) 244-7388
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1003
(904) 244-7388
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME154729
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN24565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME154729
FLORIDA LICENSE
FL
Enumeration date
03/21/2017
Last updated
07/29/2022
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