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NPI Code Detail

MEDICARE: JORGE CARLOS MACHIN RODRIGUEZ

MEDICARE:   JORGE CARLOS MACHIN RODRIGUEZ
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 PhysicianACN1621PR
2208D00000XGeneral Practice PhysicianACN1621FL

General Provider Information

NPI Number : 1356021505
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE CARLOS MACHIN RODRIGUEZ
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 400
Second Line :
City : MIAMI
State : FL
Zip : 33126-2051
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 228 W ALEXANDER ST
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-7157
Country : US
Telephone Number : 813-754-5480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2023
Last Update Date : 03/25/2026

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Directions to “ JORGE CARLOS MACHIN RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.