Individual
DR. JORGE GILETE SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N TEMPLE AVE, STARKE, FL 32091-1960
(904) 964-7732
(904) 964-3024
Mailing address
1801 N TEMPLE AVE, STARKE, FL 32091-1960
(904) 964-7732
(904) 964-3024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
014356
PR
208D00000X
General Practice Physician
Primary
ACN204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279149800
—
FL
Enumeration date
07/03/2007
Last updated
12/22/2010
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