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Individual

JORGE LUIS JORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7720 SW 99TH CT, MIAMI, FL 33173-3153
(786) 681-4959
Mailing address
1000 BRICKELL AVE STE 715-1871, MIAMI, FL 33131-3013

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME150990
FL
2084P0800X
Psychiatry Physician
036163674
IL
2084P0800X
Psychiatry Physician
150990
FL
2084P0800X
Psychiatry Physician
50559
AL
2084P0800X
Psychiatry Physician
5315238935
MI
2084P0800X
Psychiatry Physician
Primary
ME150990
FL

Other

Enumeration date
04/11/2018
Last updated
02/06/2025
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