Provider Demographics
NPI:1932135969
Name:NETTO, JORGE F (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:F
Last Name:NETTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5799 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5033
Mailing Address - Country:US
Mailing Address - Phone:305-267-8805
Mailing Address - Fax:305-267-8806
Practice Address - Street 1:5799 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5033
Practice Address - Country:US
Practice Address - Phone:305-267-8805
Practice Address - Fax:305-267-8806
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67164207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376349800Medicaid
FL376349800Medicaid
FLF95237Medicare UPIN