Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MFC1830 | FL |
NPI | 1043844483 |
---|---|
Provider Name | Jesse Aaron Ory |
First Address | Miami, FL 33136-2137 |
Second Address | Coral Gables, FL 33146-2513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2020 |
Last Update Date | 06/07/2020 |