Individual
DR. JORGE BOSQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
562 E 44TH ST, HIALEAH, FL 33013
(786) 718-0896
Mailing address
562 E 44TH ST, HIALEAH, FL 33013-1914
(786) 718-0896
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-187
FL
Other
Enumeration date
05/15/2009
Last updated
06/01/2018
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