Individual
JONATHAN SORSOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-6705
Mailing address
4691 SW 51ST DR, GAINESVILLE, FL 32608-0184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29080
FL
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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