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NPI Code Detail

MEDICARE: JORGE R COLL MD

MEDICARE: JORGE R COLL 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
1207R00000XInternal Medicine PhysicianME70533FL

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 : 1912931429
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE R COLL MD
Provider Business Mailing Address
First Line : 1865 BRICKELL AVE APT A1511
Second Line :
City : MIAMI
State : FL
Zip : 33129-1644
Country : US
Telephone Number : 305-446-9155
Fax Number : 305-446-1855
Provider Business Practice Location Address
First Line : 9495 SW 72ND ST STE B180
Second Line :
City : MIAMI
State : FL
Zip : 33173-5424
Country : US
Telephone Number : 305-274-5319
Fax Number : 305-274-5320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/30/2025

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Directions to “ JORGE R COLL MD” Practice Location

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