Organization
JORGE J. INGA, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE JAIME INGA M.D. (OWNER)
(813) 888-5000
Entity
Organization
Contact information
Practice address
6701 HANLEY RD, TAMPA, FL 33634-4742
(813) 888-5000
(813) 888-9608
Mailing address
6701 HANLEY RD, TAMPA, FL 33634-4742
(813) 888-5000
(813) 888-9608
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0031812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30129
MEDICARE PROVIDER
FL
Enumeration date
12/21/2010
Last updated
12/21/2010
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