Individual
MR. JORGE G CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4005 NW 114TH AVE, SUITE 22, DORAL, FL 33178-4374
(305) 471-9524
(305) 471-9534
Mailing address
4005 NW 114TH AVE, SUITE 22, DORAL, FL 33178-4374
(305) 471-9524
(305) 471-9534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9100386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9100386
LICENSE NUMBER
FL
Enumeration date
08/04/2006
Last updated
07/08/2007
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