Individual
MR. JORGE MARCELO SANJINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
275 OLD VILLAGE CENTER CIR UNIT 6204, SAINT AUGUSTINE, FL 32084-5810
(512) 796-8336
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
APRN11002125
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11002125
FL
Other
Enumeration date
07/06/2019
Last updated
07/11/2019
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