De Moya, Jorge Oscar

De Moya, Jorge Oscar is an individual health care provider with primary practice located at 8415 Coral Way Suite 203, Miami FL 33155-2305. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. De Moya, Jorge Oscar can be contacted via phone (305) 265-9686.

Contact Information

Primary practice address
8415 Coral Way Suite 203 Miami FL 33155-2305
Phone: (305) 265-9686
Fax: (305) 269-7933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1760474787
LBN Legal business name De Moya, Jorge Oscar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 11th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760474787 NPPES
Florida MEDICAID 064332700

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