Individual
DR. JORGE LUIS CARBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1330 SW 22ND ST STE 408, MIAMI, FL 33145-2945
(305) 642-4777
(305) 642-0600
Mailing address
220 CAMILO AVE, CORAL GABLES, FL 33134-7207
(305) 642-4777
(305) 642-0600
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0002773
FL
Other
Enumeration date
07/20/2006
Last updated
08/09/2022
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