Individual
JOSE R MIJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
255 CITRUS TOWER BLVD STE 101, CLERMONT, FL 34711-1906
(352) 394-0893
(352) 243-1188
Mailing address
2844 MAGNOLIA BLOSSOM CIR, CLERMONT, FL 34711-7493
(352) 460-2569
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-192
—
Other
Enumeration date
04/16/2019
Last updated
04/19/2019
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