JORGE LUIS OPORTA TELLEZ

ST PETERSBURG, FL
NPI1023853785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: FL  24-336)
Enumeration Date2024-06-26
Last Update Date2024-06-26
Business Address
JORGE LUIS OPORTA TELLEZ SA-C
5990 TERRACE PARK DR N UNIT 209
ST PETERSBURG, FL 33709-1153
Phone number: 727-598-3703
Mailing Address
JORGE LUIS OPORTA TELLEZ SA-C
5990 TERRACE PARK DR N UNIT 209
ST PETERSBURG, FL 33709-1153
Phone number: 727-598-3703