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NPI Code Detail

MEDICARE: DR. JORGE NAZARIO M.D.

MEDICARE: DR. JORGE NAZARIO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianACN1411FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578582318
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE NAZARIO M.D.
Provider Business Mailing Address
First Line : 5350 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4562
Country : US
Telephone Number : 352-277-5348
Fax Number : 352-606-2857
Provider Business Practice Location Address
First Line : 5235 W COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32808-7605
Country : US
Telephone Number : 689-698-1820
Fax Number : 689-698-1822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 04/09/2026

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