Jorge L Carballo Dpm Pa | |
1330 Sw 22nd St Ste 408, Miami, FL 33145-2945 | |
(305) 642-4777 | |
(305) 642-0600 |
Full Name | Jorge L Carballo Dpm Pa |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1330 Sw 22nd St Ste 408, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841735404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Jorge L Carballo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609896687 PECOS PAC ID: 8527163237 Enrollment ID: I20070424000630 |
Mailing Address | Practice Location Address |
---|---|
Jorge L Carballo Dpm Pa 220 Camilo Ave, Coral Gables, FL 33134-7207 Ph: (305) 642-4777 | Jorge L Carballo Dpm Pa 1330 Sw 22nd St Ste 408, Miami, FL 33145-2945 Ph: (305) 642-4777 |
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