Individual
KALINA SAN JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1001 W CYPRESS CREEK RD, SUITE 120, FORT LAUDERDALE, FL 33309-1900
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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