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1275549511
JORGE JUAN BACALLAO
SOUTH MIAMI, FL
NPI
1275549511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME 92076)
Enumeration Date
2006-07-31
Last Update Date
2018-02-15
Business Address
Dr. JORGE JUAN BACALLAO MD
5858 SW 68TH ST
SOUTH MIAMI, FL 33143-3693
Phone number: 305-661-8588
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Mailing Address
Dr. JORGE JUAN BACALLAO MD
5858 SW 68TH ST
SOUTH MIAMI, FL 33143-3693
Phone number: 305-661-8588
Copy
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