Individual
JORGE ALEXANDER LEDEZMA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
18260 NW 59TH AVE APT 203, HIALEAH, FL 33015-5691
(786) 230-4381
Mailing address
18260 NW 59TH AVE APT 203, HIALEAH, FL 33015-5691
(786) 230-4381
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-546
FL
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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