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1265900336
FERNANDO ESTRADA BAEZA
FORT MYERS, FL
NPI
1265900336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9111765)
Enumeration Date
2018-11-07
Last Update Date
2024-03-20
Business Address
FERNANDO ESTRADA BAEZA
13685 DOCTORS WAY STE 350
FORT MYERS, FL 33912-4347
Phone number: 239-343-3800
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Mailing Address
FERNANDO ESTRADA BAEZA
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-3800
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