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NPI Code Detail

MEDICARE: DR. JORGE LUIS MARCOS MD

MEDICARE:  DR. JORGE LUIS MARCOS  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
12084N0400XNeurology PhysicianME415114FL

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 : 1861445074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE LUIS MARCOS MD
Provider Business Mailing Address
First Line : 9960 NW 116TH WAY
Second Line : SUITE 13
City : MEDLEY
State : FL
Zip : 33178-1167
Country : US
Telephone Number : 786-924-1311
Fax Number : 786-924-1313
Provider Business Practice Location Address
First Line : 1801 CORAL WAY STE 420
Second Line :
City : MIAMI
State : FL
Zip : 33145-2784
Country : US
Telephone Number : 305-443-2626
Fax Number : 305-444-2652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 03/24/2021

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Directions to “ DR. JORGE LUIS MARCOS MD” Practice Location

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