Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | OS5907 | FL |
NPI | 1013285188 |
---|---|
Provider Name | Dr. Jorge Miguel Toledo |
First Address | Delray Beach, FL 33446-9509 |
Second Address | Delray Beach, FL 33446-9509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2011 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376086300 | (05) | FL |
F09286 | (02) | FL |