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General NPI Number Information
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NPI Number | 1982860193
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Entity Type | Individual
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Provider Name | JORGE A. FERNANDEZ-SILVA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 450 E MERRITT ISLAND CSWY # 200
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3503
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Country | US
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Telephone | 321-735-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W GORE ST SUITE 500
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City | ORLANDO
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State | FL
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Zip | 32806-1044
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Country | US
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Telephone | 407-649-8707
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Fax | 407-649-8373
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 104722
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME 104722
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License Number State | FL
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