Doctor Name: | DR. JORGE GILETE SOSA |
NPI Number: | 1447458229 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 014356 |
Business Practice Address: | 1801 N Temple Ave Starke, FL - 320911960 |
Business Phone Number: | 9049647732 |
Business Fax Number: | 9049643024 |
Mailing Address: | 1801 N Temple Ave, STARKE |
State: | FL |
Postal Code: | 320911960 |
Phone Number: | 9049647732 |
Fax Number: | 9049643024 |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 014356 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |