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General NPI Number Information
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NPI Number | 1639313091
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Entity Type | Individual
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Provider Name | ARIEL FERNANDEZ D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1037 S STATE ROAD 7 STE 211
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City | WELLINGTON
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State | FL
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Zip | 33414-6139
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Country | US
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Telephone | 561-798-3030
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Fax | 561-798-8242
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 904-745-3618
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS19018
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License Number State | FL
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