Provider Demographics
NPI:1619109634
Name:FLORINDEZ, JORGE ANTENOR (MD)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:ANTENOR
Last Name:FLORINDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MANNING DRIVE 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7305
Mailing Address - Country:US
Mailing Address - Phone:919-966-1996
Mailing Address - Fax:919-966-6735
Practice Address - Street 1:170 MANNING DRIVE 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-2107
Practice Address - Country:US
Practice Address - Phone:919-966-1996
Practice Address - Fax:919-966-6735
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112732208M00000X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine