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1477967545
JORGE L CORDOVA - RUIZ
ST AUGUSTINE, FL
NPI
1477967545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 019114)
Enumeration Date
2014-06-17
Last Update Date
2022-03-04
Business Address
Mr. JORGE L CORDOVA - RUIZ M.D
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086-5966
Phone number: 904-829-0814
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Mailing Address
Mr. JORGE L CORDOVA - RUIZ M.D
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086-5966
Phone number: 904-829-0814
Copy
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