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Mr. Jorge L Cordova - Ruiz, MD
General Practice Physician in St Augustine, Florida
NPI 1477967545

Jorge L Cordova - Ruiz is a General Practice Physician based in St Augustine, FL. Jorge L Cordova - Ruiz practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Jorge L Cordova - Ruiz is 1477967545 and holds a License No. 019114 (Florida).

The current practice location address for Jorge L Cordova - Ruiz is 100 Deerfield Preserve Blvd, St Augustine, FL and can be reached out via phone at 904-829-0814.

Location: 100 Deerfield Preserve Blvd, St Augustine, FL, 32086-5966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477967545
Provider Name
Jorge L Cordova - Ruiz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Deerfield Preserve Blvd, St Augustine, FL, 32086-5966
Phone Number
904-829-0814
Fax Number
Provider Enumeration Date
06/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477967545 01 PR 1477967545
institution
Provider Business Practice Location Address Details
Address
100 Deerfield Preserve Blvd
City
St Augustine
State
Florida
Zip
32086-5966
Phone Number
904-829-0814
Fax Number
person
Provider Business Mailing Address Details
Address
100 Deerfield Preserve Blvd
City
St Augustine
State
Florida
Zip
32086-5966
Phone Number
904-829-0814
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
019114 ()
Definition
Definition to come...
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