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1255650834
JORGE LUIS BASTOS MARRERO
MIAMI, FL
NPI
1255650834
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Former Name
JORGE LUIS BASTOS MARRERO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME 105867)
Enumeration Date
2010-05-22
Last Update Date
2017-04-03
Business Address
Dr. JORGE LUIS BASTOS MARRERO MD
3100 SW 62 AVE
MIAMI, FL 33155
Phone number: 305-666-6511
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Mailing Address
Dr. JORGE LUIS BASTOS MARRERO MD
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number: 305-666-6511
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