Perez Clavijo, Jorge Luis

Perez Clavijo, Jorge Luis is an sole proprietor health care provider with primary practice located at 1905 Nw 82Nd Ave , Doral FL 33126-1011. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Perez Clavijo, Jorge Luis can be contacted via phone (786) 420-5924.

Contact Information

Primary practice address
1905 Nw 82Nd Ave Doral FL 33126-1011
Phone: (786) 420-5924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CBHCM101723 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN9485164 Florida

Profile Details

NPI number 1215402813
LBN Legal business name Perez Clavijo, Jorge Luis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2018
Last updated Oct 10th, 2018 - about 8 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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