Individual
MR. JORGE JOSE DIPP SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18872 NW 77TH CT, HIALEAH, FL 33015-5280
(305) 321-5978
Mailing address
18872 NW 77TH CT, HIALEAH, FL 33015-5280
(305) 321-5978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002137
PR
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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