Individual
MR. JORGE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3600 WASHINGTON ST, HOLLYWOOD, FL 33021-8216
(954) 518-5300
Mailing address
92 NW 100TH TER, MIAMI SHORES, FL 33150-1208
(305) 756-8523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9102841
FL
Other
Enumeration date
10/17/2006
Last updated
03/25/2021
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