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Jorge Mejia, CO LO

in Gainesville, FL. Individual provider (NPI-1).

NPI number1831783471
StatusActive
Last updated in NPPESFeb 24, 2021

Details

NPI
1831783471
Entity type
Individual (NPI-1)
Name
Jorge Mejia
Credential
CO LO
Sex
Male
Sole proprietor
No
Enumeration date
Feb 24, 2021
Certification date
Feb 24, 2021
Last updated
Feb 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X ORT351FLYes

Practice location

3870 Nw 83rd St
Gainesville, FL 32606-5601

Phone 352-331-4221 · Fax 352-332-8074

Mailing address

3870 Nw 83rd St
Gainesville, FL 32606-5601

Phone 352-331-4221 · Fax 352-332-8074

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