Jorge Carballo
Registered Nurse, General Practice in Miami, FL. Individual provider (NPI-1).
NPI number1821596479
StatusActive
Last updated in NPPESJan 29, 2018
Details
- NPI
- 1821596479
- Entity type
- Individual (NPI-1)
- Name
- Jorge Carballo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2018
- Last updated
- Jan 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 9351651 | FL | Yes |
Practice location
8710 Sw 41st TerMiami, FL 33165-5437
Phone 786-416-1663
Mailing address
8710 Sw 41st TerMiami, FL 33165-5437
Phone 786-416-1663
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