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Individual

JESUS ORNELAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8620 SW 146TH ST, PALMETTO BAY, FL 33158
(305) 395-9589
Mailing address
8620 SW 146TH ST, PALMETTO BAY, FL 33158-1443
(305) 395-9589

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
25MA09102700
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME118252
FL

Other

Enumeration date
10/01/2009
Last updated
11/30/2020
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