Gomez-Jorge, Jackeline T

Gomez-Jorge, Jackeline T is an individual health care provider with primary practice located at 401 Miracle Mile Suite 103, Coral Gables FL 33134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Gomez-Jorge, Jackeline T can be contacted via phone (888) 211-9355.

Contact Information

Primary practice address
401 Miracle Mile Suite 103 Coral Gables FL 33134
Phone: (888) 211-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME-66752 Florida

Profile Details

NPI number 1316940612
LBN Legal business name Gomez-Jorge, Jackeline T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 17th, 2017 - about 9 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 1316940612 NPPES
Florida Other 35884 BLUE SHIELD
Florida Other 179079 BLUE SHIELD
Florida MEDICAID 2594153-00 BLUE SHIELD
Florida Other 272922 BLUE SHIELD
Florida Other 5020703 BLUE SHIELD
Florida Other 6643476 BLUE SHIELD
Florida Other 48767 BLUE SHIELD

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