MEDICARE: JORGE HURTADO-CORDOVI MD

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
1	207RH0000X	Hematology (Internal Medicine) Physician	ME128426	FL
2	207RH0003X	Hematology & Oncology Physician	ME128426	FL
3	207RX0202X	Medical Oncology Physician	ME128426	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1780993907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE HURTADO-CORDOVI MD

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3730 7TH TER STE 101
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6556
Country	:	US
Telephone Number	:	772-567-2332
Fax Number	:	844-812-2806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2010
Last Update Date	:	11/04/2024

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