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NPI Code Detail

MEDICARE: JORGE DUBOIS, M.D., P.A.

MEDICARE: JORGE DUBOIS, M.D., P.A.
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
1170100000XPh.D. Medical GeneticsME 92151FL

General Provider Information

NPI Number : 1093888190
Entity Type Code : Organization
Provider Name (Legal Business Name) : JORGE DUBOIS, M.D., P.A.
Provider Business Mailing Address
First Line : 845 E 10TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 845 E 10TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4645
Country : US
Telephone Number : 305-310-3587
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JORGE DUBOIS
Credential :
Telephone Number : 305-310-3587
Provider Enumeration Date : 11/16/2006
Last Update Date : 08/22/2020

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