Individual
DR. JUAN C. LUIS-JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4933 UNIVERSITY BLVD W, JACKSONVILLE, FL 32216-5935
(904) 733-7800
(904) 419-4888
Mailing address
4114 ALHAMBRA DR W, JACKSONVILLE, FL 32207-6017
(904) 398-9951
(904) 398-9875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0052228
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME52228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049288400
—
FL
Enumeration date
07/06/2006
Last updated
02/19/2013
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