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1437600913
JORGE VITO LASTAYO
MIAMI, FL
NPI
1437600913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9109821)
Enumeration Date
2016-10-19
Last Update Date
2022-02-10
Business Address
JORGE VITO LASTAYO PA-C
8900 N KENDALL DR
MIAMI, FL 33176-2118
Phone number: 786-596-2000
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Mailing Address
JORGE VITO LASTAYO PA-C
PO BOX 743144
ATLANTA, GA 30374-3144
Phone number:
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