JULIO JORGE MD PA
Osteopathic Medicine at 107 Ave, Miami, FL

License number
Florida ME0064851
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: JUAN J LOPEZ
Title: BILLING AGENT
Phone: (305) 251-3991
Address
Address
9560 SW 107Th Ave SUITE A104, Miami, FL 33176
National Provider ID: 1053667527
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Julio Jorge, M.D., PA

Miami, FL

Registration:
Nov 19, 2002
Addresses:
9560 SW 107 Ave, Miami, FL 33176
104 9560 S W 107 Ave, Miami, FL 33176
State ID:
P02000122921
Business type:
Domestic for Profit Corporation
Director:
Julio Jorge (Director)
Agent:
Jose E. Smith

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