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Individual

JORGE GAVIRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 N MILITARY TRL STE 111, BOCA RATON, FL 33431-6305
(561) 353-0330
(561) 353-0104
Mailing address
2600 LAKE LUCIEN DR STE 180, MAITLAND, FL 32751-7235
(407) 875-2080
(407) 875-0518

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME94318
FL

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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