Organization
JORGE L CARBALLO DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L CARBALLO DPM (OWNER)
(305) 642-4777
Entity
Organization
Contact information
Practice address
1330 SW 22ND ST STE 408, MIAMI, FL 33145-2945
(305) 642-4777
(305) 642-0600
Mailing address
220 CAMILO AVE, CORAL GABLES, FL 33134-7207
(305) 642-4777
(305) 642-0600
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
08/09/2022
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