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NPI Code Detail

MEDICARE: JORGE MIGUEL TOLEDO DO

MEDICARE: JORGE MIGUEL TOLEDO DO
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
1207P00000XEmergency Medicine PhysicianOS5907FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OS-5907OTHERFLSTATE MEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013285188
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE MIGUEL TOLEDO DO
Provider Business Mailing Address
First Line : 23850 VIA ITALIA CIR APT 1906
Second Line :
City : ESTERO
State : FL
Zip : 34134-7148
Country : US
Telephone Number : 239-301-8000
Fax Number : 239-236-0738
Provider Business Practice Location Address
First Line : 23850 VIA ITALIA CIR APT 1906
Second Line :
City : ESTERO
State : FL
Zip : 34134-7148
Country : US
Telephone Number : 239-301-8000
Fax Number : 239-236-0738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2011
Last Update Date : 03/09/2023

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