Provider Demographics
NPI:1578905477
Name:JORGE J SOWERS MD PA
Entity Type:Organization
Organization Name:JORGE J SOWERS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-644-8077
Mailing Address - Street 1:411 SW 27TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2903
Mailing Address - Country:US
Mailing Address - Phone:305-644-8077
Mailing Address - Fax:305-644-8262
Practice Address - Street 1:411 SW 27TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2903
Practice Address - Country:US
Practice Address - Phone:305-644-8077
Practice Address - Fax:305-644-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL375522085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty