Individual
JORGE MANUEL VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2270 SW 131ST TER, DAVIE, FL 33325-5112
(305) 720-9800
Mailing address
2270 SW 131ST TER, DAVIE, FL 33325-5112
(305) 720-9800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NJDCATEMP-035961
NJ
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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