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NPI Code Detail

MEDICARE: JORGE L. SOSA, M.D., P.A.

MEDICARE: JORGE L. SOSA, 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
1174400000XSpecialistME55406FL

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 : 1285925099
Entity Type Code : Organization
Provider Name (Legal Business Name) : JORGE L. SOSA, M.D., P.A.
Provider Business Mailing Address
First Line : 3499 W 4TH AVE
Second Line : SUITE 201
City : HIALEAH
State : FL
Zip : 33012-4333
Country : US
Telephone Number : 305-558-0411
Fax Number : 305-863-3802
Provider Business Practice Location Address
First Line : 3499 W 4TH AVE
Second Line : SUITE 201
City : HIALEAH
State : FL
Zip : 33012-4333
Country : US
Telephone Number : 305-558-0411
Fax Number : 305-863-3802
Authorized Official
Title or Position : PRESIDENT
Name : DR. JORGE L SOSA
Credential : M.D.
Telephone Number : 305-558-0411
Provider Enumeration Date : 04/27/2011
Last Update Date : 04/27/2011

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