Individual
JORGE LUIS PEREZ LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7212 NW 4TH ST, MIAMI, FL 33126-4214
(210) 665-7540
Mailing address
7212 NW 4TH ST, MIAMI, FL 33126-4214
(210) 665-7540
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11010009
FL
Other
Enumeration date
12/08/2020
Last updated
12/09/2020
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