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Individual

DR. JORGE L MAZA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 UNIVERSITY DR, CORAL GABLES, FL 33146-2008
(305) 448-9018
(305) 448-1895
Mailing address
1500 SAN REMO AVE, SUITE 285, CORAL GABLES, FL 33146-3043
(305) 448-9018
(305) 448-1895

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0056913
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10750
B/C & B/S OF FL
FL
05
64851500
FL
Enumeration date
11/10/2005
Last updated
07/08/2007
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