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1184670333
ULISES D FERNANDEZ MIRO
PORT ST LUCIE, FL
NPI
1184670333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: FL ME0076116)
Enumeration Date
2006-05-26
Last Update Date
2011-06-08
Business Address
-- ULISES D FERNANDEZ MIRO MD
1874 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5545
Phone number: 772-337-7676
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Mailing Address
-- ULISES D FERNANDEZ MIRO MD
1149 SAN MICHELE WAY
PALM BEACH GARDENS, FL 33418-6704
Phone number:
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