DR. Jorge Juan Bacallao, MD

NPI #1275549511 in South Miami, Florida

Provider Information

NPI Number: 1275549511
Entity Type: Individual
Name: DR. Jorge Juan Bacallao, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 31, 2006
Last Updated: Feb 15, 2018

Practice Location

Address: 5858 SW 68TH ST
City: South Miami
State: Florida
ZIP Code: 33143-3693
Phone: (305) 661-8588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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