Provider Demographics
NPI:1639425630
Name:GIL, JORGE (ARNP)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:GIL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 SW 8TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:306-262-6060
Mailing Address - Fax:305-262-6038
Practice Address - Street 1:5101 SW 8TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-262-6060
Practice Address - Fax:305-262-6038
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9293769363LA2200X
FLAPRN9293769363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health