Individual
MR. JORGE ULISES AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8900 SW 117TH AVE, SUITE C 203, MIAMI, FL 33186-2175
(305) 215-6027
Mailing address
16143 SW 139TH ST, MIAMI, FL 33196-6464
(305) 215-6027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100766
FL
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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