person
Jorge Vito Lastayo, PA-C
Surgical Physician Assistant in Miami, Florida
NPI 1437600913

Jorge Vito Lastayo is a Surgical Physician Assistant based in Atlanta, FL and is specialized in Surgical. Jorge Vito Lastayo practices in Miami, FL and has the professional credentials of PA-C. The NPI Number for Jorge Vito Lastayo is 1437600913 and holds a License No. PA9109821 (Florida).

The current practice location address for Jorge Vito Lastayo is 8900 N Kendall Dr, Miami, FL and can be reached out via phone at 786-596-2000.

Location: 8900 N Kendall Dr, Miami, FL, 30374-3144
person
Provider Profile Details
NPI Number
1437600913
Provider Name
Jorge Vito Lastayo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8900 N Kendall Dr, Miami, FL, 30374-3144
Phone Number
786-596-2000
Fax Number
Provider Enumeration Date
10/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8900 N Kendall Dr
City
State
Zip
33176-2118
Phone Number
786-596-2000
Fax Number
person
Provider Business Mailing Address Details
Address
8900 N Kendall Dr
City
State
Zip
33176-2118
Phone Number
786-596-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9109821 (Florida)
Definition
Definition to come...
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