Organization
JOSE ORCASITA-NG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH N DE VERA (COO)
(305) 649-8100
Entity
Organization
Contact information
Practice address
7000 W 12TH AVE UNIT 21-22, HIALEAH, FL 33014-5154
(305) 362-9560
(305) 827-1581
Mailing address
1000 NW 57TH CT STE 400, MIAMI, FL 33126-3292
(305) 649-8100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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