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1073806204
JORGE DE LA PORTILLA PA
MIAMI, FL
NPI
1073806204
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Entity Type
Organization
Authorized Contact
JANETH GIRALDO
Office Manager
305-220-9207
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME0047966)
Enumeration Date
2011-05-20
Last Update Date
2016-01-27
Business Address
JORGE DE LA PORTILLA PA
11880 SW 40TH ST 420
MIAMI, FL 33175-3584
Phone number: 305-220-9207
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Mailing Address
JORGE DE LA PORTILLA PA
11880 SW 40TH ST 420
MIAMI, FL 33175-3584
Phone number: 305-220-9207
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