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NPI 1629053921

NPI 1629053921 : FRANCISCO FERNANDEZ DO : PINECREST, FL

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General NPI Number Information
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    NPI Number           |    1629053921
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCISCO FERNANDEZ DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/08/2005
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    Last Update Date     |    11/05/2024
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Provider Practice Location Address
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    Address Line         |    9619 S DIXIE HWY 
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    City                 |    PINECREST
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    State                |    FL
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    Zip                  |    33156-2804
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    Country              |    US
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    Telephone            |    786-882-1919
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    Fax                  |    786-206-3161
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Provider Business Mailing Address
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    Address Line         |    PO BOX 165154 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33116-5154
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    Country              |    US
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    Telephone            |    786-882-1919
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    Fax                  |    786-206-3161
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    OS8777
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    OS8777
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    License Number State |    FL
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