Individual
JORGE NAZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3280 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-7252
(305) 444-0909
Mailing address
11756 SW 90TH TER, MIAMI, FL 33186-2171
(305) 264-6776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT9436
LICENSE #
FL
Enumeration date
08/21/2006
Last updated
07/08/2007
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