Individual provider · NPI-1

Dr. Jorge Bosque

Specialist/Technologist, Other, Surgical Assistant · Hialeah, FL

NPI number1689809956
StatusActive
Last updated in NPPESJun 1, 2018

Details

NPI
1689809956
Entity type
Individual (NPI-1)
Name
Dr. Jorge Bosque
Sex
Male
Sole proprietor
Yes
Enumeration date
May 15, 2009
Last updated
Jun 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant09-187FLYes

Practice location

562 E 44th St
Hialeah, FL 33013

Phone 786-718-0896

Mailing address

562 E 44th St
Hialeah, FL 33013-1914

Phone 786-718-0896

Other practice locations

1600 Sarno Rd
Suite 15
Melbourne, FL 32935-4938

Phone 800-348-4565 · Fax 888-468-6511

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