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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JORGE JUAN BACALLAO, MD

Active Sole Proprietor

DR. JORGE JUAN BACALLAO, MD is a Ophthalmology healthcare provider located in SOUTH MIAMI, Florida. NPI 1275549511 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · SOUTH MIAMI, FL

Registration Details

NPI Number
1275549511
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2006 (19.894071948083 yrs)
Last Updated
Feb 15, 2018
License
ME 92076 (FL)
Sole Proprietor
Yes

Practice Information

Address
5858 SW 68TH ST
SOUTH MIAMI, FL, 331433693
Browse FL providers · Browse ZIP 33143
Phone
3056618588
Fax
3056614906
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in SOUTH MIAMI, FL

Name Credential NPI
JANIS DZELZKALNS MD 1801895172
RICHARD STEWART KALSKI M.D. 1497739551
ZACHARY KAUFMAN SEGAL M.D. 1881630887
DR. HENRY ALVAREZ M.D. 1932111002
DR. JORGE CESAR BRUNO MD 1710052097
JOANNA P WAHL D.O 1558548586
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.