JORGE VITO LASTAYO

MIAMI, FL
NPI1437600913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9109821)
Enumeration Date2016-10-19
Last Update Date2022-02-10
Business Address
JORGE VITO LASTAYO PA-C
8900 N KENDALL DR
MIAMI, FL 33176-2118
Phone number: 786-596-2000
Mailing Address
JORGE VITO LASTAYO PA-C
PO BOX 743144
ATLANTA, GA 30374-3144
Phone number:
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