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Individual

MR. JORGE L MALOUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6912 W LINEBAUGH AVE STE 102, TAMPA, FL 33625-5818
(813) 798-2020
(813) 798-3390
Mailing address
6912 W LINEBAUGH AVE STE 102, TAMPA, FL 33625-5818
(813) 798-2020
(813) 798-3390

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
6869
OK
207W00000X
Ophthalmology Physician
Primary
OS17305
FL

Other

Enumeration date
02/09/2016
Last updated
12/08/2022
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