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1023853785
JORGE LUIS OPORTA TELLEZ
ST PETERSBURG, FL
NPI
1023853785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: FL 24-336)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
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
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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
Copy
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