Individual
JORGE LUIS PARRA SISCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3021 SW 117TH AVE, MIAMI, FL 33175-1726
(305) 216-8122
Mailing address
3021 SW 117TH AVE, MIAMI, FL 33175-1726
(305) 216-8122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9647628
FL
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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