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Jorge Lara

NPI 1962944546 · on the registry since 2016 · sole proprietor

Practice

Address
4616 Sw 136th Pl
Miami, FL 33175
Phone
(786) 631-2280

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida