Jorge Reyes Vicente, DMD PA

NPI 1740379460 · on the registry since 2006 · sole proprietor

Practice

Address: 1549 S Alafaya Trl
Suite #300
Orlando, FL 32828
Phone: (407) 249-0818
Fax: (407) 249-0851
Organisation at this address: Marcy L. Keown, Dmd, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 124Q00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida