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General NPI Number Information
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NPI Number | 1750867214
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Entity Type | Organization
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Legal Business Name | FERNANDEZ MEDICAL CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 16100 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33169-6504
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Country | US
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Telephone | 305-354-8800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 310902
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City | MIAMI
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State | FL
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Zip | 33231-0902
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Country | US
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Telephone | 312-607-1839
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Fax | 305-468-6364
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | CESAR A FERNANDEZ PEDEMONTE
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Credential | MD
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Telephone | 312-607-1839
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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 |
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License Number State |
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